Individual
SHAMECCA LAVISTA SWAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PLANTATION CENTRE DR S STE A, MACON, GA 31210-2079
(478) 258-3431
Mailing address
125 PLANTATION CENTRE DR S STE A, MACON, GA 31210-2079
(478) 258-3431
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
GB006842
GA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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