Individual
MRS. TOSHA SHAMEASE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN
Contact information
Practice address
1607 LAKE HARBIN RD, MORROW, GA 30260-1721
(770) 703-6000
Mailing address
78 PORTLAND PL, JONESBORO, GA 30238-7036
(404) 457-7219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
06127314
GA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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