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1639652829
CASSANDRA SHEA GILLIAM
MACON, GA
NPI
1639652829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN171251)
Enumeration Date
2018-09-13
Last Update Date
2024-12-12
Business Address
CASSANDRA SHEA GILLIAM PMHNP-BC
135 MACON WEST DR
MACON, GA 31210-5652
Phone number: 478-496-4896
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Mailing Address
CASSANDRA SHEA GILLIAM PMHNP-BC
1740 ROCKY CREEK RD # 3822
MACON, GA 31206-3585
Phone number: 478-496-4896
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