Individual
LING SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 DALWOOD DR, SUWANEE, GA 30024-6645
(770) 542-9579
Mailing address
3495 DALWOOD DR, SUWANEE, GA 30024-6645
(770) 542-9579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN196791
GA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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