Search › Georgia › 106S00000X
Sanquell-La'Shae Ivory
NPI 1700767001 · on the registry since 2025 · sole proprietor
Practice
- Address
- 998 Bacontown Rd
Midway, GA 31320 - Phone
- (912) 532-2635
- Fax
- (912) 532-2635
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2025-09-11
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