Individual
MRS. SHEENA POWELL MANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 HIGHWAY 54 W STE 710, FAYETTEVILLE, GA 30214-4565
(770) 991-2800
Mailing address
1240 HIGHWAY 54 W STE 710, FAYETTEVILLE, GA 30214-4565
(770) 991-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7986
GA
Other
Enumeration date
06/24/2016
Last updated
04/24/2025
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