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Shauntel Jennings
NPI 1811432040 · on the registry since 2016
Practice
- Address
- 921 Mainstreet Lake Dr
Stone Mountain, GA 30088 - Phone
- (404) 769-7651
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- GA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-26
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