Individual
SHERNELL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAMS
Contact information
Practice address
323 PINE AVE STE 205, ALBANY, GA 31701-2587
(229) 376-8994
Mailing address
315 VICK ST, ALBANY, GA 31705-4088
(229) 376-8994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/13/2022
Last updated
06/07/2023
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