Search › Georgia › 106S00000X
Shanetris Montague
NPI 1417613407 · on the registry since 2021
Practice
- Address
- 1708 Fresno St
Valdosta, GA 31602 - Phone
- (352) 281-3272
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 3747A0650X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-24
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