SearchGeorgia104100000X

Shawn Souvenir, B.S

NPI 1699195172 · on the registry since 2014 · sole proprietor

Practice

Address
1210 2nd Avenue
Columbus, GA 31909
Phone
(706) 256-3200

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2014-04-23

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