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Individual

SHAWANDA TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 16TH AVE, COLUMBUS, GA 31901-1665
(706) 320-3700
Mailing address
4519 WOODRUFF RD STE 4, COLUMBUS, GA 31904-6096

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-189727
AL

Other

Enumeration date
11/14/2025
Last updated
11/14/2025
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