Individual
MR. SHAQUAN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 CALUMET PKWY STE H, NEWNAN, GA 30263-6734
(770) 304-0072
Mailing address
18 GREENVILLE ST UNIT 542, NEWNAN, GA 30264-3021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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