SHALESE AYCOCK

VALDOSTA, GA
NPI1386331734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  NCO-000001)
Enumeration Date2023-04-18
Last Update Date2024-03-14
Business Address
SHALESE AYCOCK NP
3294 N OAK STREET EXT
VALDOSTA, GA 31605-6473
Phone number: 229-241-1188
Mailing Address
SHALESE AYCOCK NP
3294 N OAK STREET EXT
VALDOSTA, GA 31605-6473
Phone number: 229-241-1188
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