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Shana Real
NPI 1447130075 · on the registry since 2025
Practice
- Address
- 255 Stonewall Ave W Apt 2
Fayetteville, GA 30214 - Phone
- (859) 251-4700
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-04
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