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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 Homecare
Inferred 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