Organization
SHINE HEALTHCARE GROUP
Active
Other names
Shine Healthcare Group
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN BOOKER (CEO)
(404) 491-7716
Entity
Organization
Contact information
Practice address
3250 CREEK WATER CT #615, LAWRENCEVILLE, GA 30044
(678) 469-9526
Mailing address
3631 CHAMBLEE TUCKER RD, STE A #288, ATLANTA, GA 30341
(678) 469-9526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
09/09/2022
Last updated
09/09/2022
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