Individual
SHELBY DOZIER EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
408 E 3RD AVE, CORDELE, GA 31015-3605
(229) 271-2229
Mailing address
408 E 3RD AVE, CORDELE, GA 31015-3605
(229) 271-2229
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN248977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/30/2019
Last updated
02/24/2025
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