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1134644743
SHANNON LEIGH BOLES
NEWNAN, GA
NPI
1134644743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA RN197974)
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
-- SHANNON LEIGH BOLES PNP
931 LOWER FAYETTEVILLE RD STE J
NEWNAN, GA 30263-5790
Phone number: 770-253-0170
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Mailing Address
-- SHANNON LEIGH BOLES PNP
475 BARRINGTON GRANGE DR
SHARPSBURG, GA 30277-3640
Phone number: 678-697-5498
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