Search › Georgia › 363LF0000X
Shodetta Bun-Mansaray, FNP-C
NPI 1942685847 · on the registry since 2015
Practice
- Address
- 2720 Loganville Hwy
Loganville, GA 30052 - Phone
- (866) 389-2727
- Organisation at this address
- Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- VA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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