Individual
SHAVONE BELLAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 KINGSLEY AVE STE 210, ORANGE PARK, FL 32073-5685
(912) 722-3281
Mailing address
2164 US HIGHWAY 84, BLACKSHEAR, GA 31516-1160
(254) 458-4138
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
1744P3200X
Prosthetics Case Management
—
—
Other
Enumeration date
01/03/2022
Last updated
04/10/2023
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