person
Shanun Janiece Evans
Prosthetics Case Management in Albany, Georgia
NPI 1205422540

Shanun Janiece Evans is a Prosthetics Case Management based in Albany, GA and is specialized in Prosthetics Case Management. Shanun Janiece Evans practices in Albany, GA. The NPI Number for Shanun Janiece Evans is 1205422540 and holds a License No. C102408 (Georgia).

The current practice location address for Shanun Janiece Evans is 12051 Mcclintock Ct, Albany, GA and can be reached out via phone at 216-854-1011.

Location: 12051 Mcclintock Ct, Albany, GA, 31705-4447
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Provider Profile Details
NPI Number
1205422540
Provider Name
Shanun Janiece Evans
Credential
Provider Entity Type
Individual
Gender
Female
Address
12051 Mcclintock Ct, Albany, GA, 31705-4447
Phone Number
216-854-1011
Fax Number
Provider Enumeration Date
12/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C102408 01 NC COSMETOLOGY
institution
Provider Business Practice Location Address Details
Address
12051 Mcclintock Ct
City
State
Zip
31705-4447
Phone Number
216-854-1011
Fax Number
person
Provider Business Mailing Address Details
Address
12051 Mcclintock Ct
City
State
Zip
31705-4447
Phone Number
216-854-1011
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
C102408 (North Carolina)
Definition
Definition to come...
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