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Shannon Boles, PNP
NPI 1134644743 · on the registry since 2017
Practice
- Address
- 931 Lower Fayetteville Rd Ste J
Newnan, GA 30263 - Phone
- (770) 253-0170
- Organisation at this address
- Express Medical Llc
Express Medical, Llc
Childrens Clinic Llc
Balanced Family Wellness
Express Medical HomecareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia