SearchGeorgia225700000X

Shajuan Virgil, C.PED., LMT

NPI 1649869264 · on the registry since 2021 · sole proprietor

Practice

Address
108 Baytree Dr
Thomasville, GA 31792
Phone
(678) 682-4493

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
224L00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-18

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