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Individual

SHA'QUANA PATTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 HIGHWAY 85 N STE 310-147, FAYETTEVILLE, GA 30214-7738
(937) 570-2426
Mailing address
1415 HIGHWAY 85 N STE 310-147, FAYETTEVILLE, GA 30214-7738
(937) 570-2426

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16153
GA

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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