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1295563278
SHANTA WADE
GRIFFIN, GA
NPI
1295563278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN261484)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
Mrs. SHANTA WADE APRN
619 S 8TH ST STE 100
GRIFFIN, GA 30224-4260
Phone number: 678-248-2899
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Mailing Address
Mrs. SHANTA WADE APRN
619 S 8TH ST STE 100
GRIFFIN, GA 30224-4260
Phone number:
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