Individual
SHANELL FELDERGOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
871 USS JAMES MADISON, SAINT MARYS, GA 31547-2531
(912) 573-4264
Mailing address
871 USS JAMES MADISON, SAINT MARYS, GA 31547-2531
(912) 573-4264
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230009268
VA
Other
Enumeration date
08/10/2009
Last updated
08/18/2009
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