Search › Georgia › 106S00000X
Shandon Boddy
NPI 1467278200 · on the registry since 2024
Practice
- Address
- 801 Hickory Level Rd Apt 5122
Villa Rica, GA 30180 - Phone
- (216) 905-4090
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-26
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