Individual
SHANNON HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1264 CONCORD RD SE, 106, SMYRNA, GA 30080-5302
(770) 874-3238
(770) 874-3239
Mailing address
PO BOX 813683, SMYRNA, GA 30081-8683
(770) 874-3238
(770) 874-3239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN226101
GA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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