Individual
SHANIKA LEYLA MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 GA-138, RIVERDALE, GA 30296
(770) 907-4949
Mailing address
1324 GA-138, RIVERDALE, GA 30296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
04/23/2025
Last updated
07/16/2025
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