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Shaen Deimling
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1134869506

Shaen Deimling is a Student in an Organized Health Care Education/Training Program based in Suwanee, GA. Shaen Deimling practices in Lawrenceville, GA. The NPI Number for Shaen Deimling is 1134869506 and holds a License No. (Georgia).

The current practice location address for Shaen Deimling is 1000 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 770-299-3000. You can also correspond with Shaen Deimling through the mailing address at 2105 WILDWOOD LAKE DR, SUWANEE, GA - 30024-3234 (mailing address contact number: ).

Location: 1000 Medical Center Blvd, Lawrenceville, GA, 30024-3234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134869506
Provider Name
Shaen Deimling
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Medical Center Blvd, Lawrenceville, GA, 30024-3234
Phone Number
770-299-3000
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
770-299-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
770-299-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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