Individual
AISHA FATIMA SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
351 OAKTOWN PL, LAWRENCEVILLE, GA 30044-3823
(443) 616-7477
Mailing address
351 OAKTOWN PL, LAWRENCEVILLE, GA 30044-3823
(443) 616-7477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
279533
GA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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