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1760967004
SHANE WHEELUS
ATLANTA, GA
NPI
1760967004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN182869)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
SHANE WHEELUS AGACNP-BC
550 PEACHTREE ST NE DEPT OF
ATLANTA, GA 30308-2247
Phone number: 404-686-4411
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Mailing Address
SHANE WHEELUS AGACNP-BC
3094 SAWGRASS TRL SW
LILBURN, GA 30047-1861
Phone number: 770-310-0756
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