DESTINA SHANTE REID

LAGRANGE, GA
NPI1790311223
Former NameDESTINA SHANTE CAMPBELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9661)
Enumeration Date2020-03-16
Last Update Date2020-03-16
Business Address
DESTINA SHANTE REID PA-C
108 EDGEWOOD AVE
LAGRANGE, GA 30241-6116
Phone number: 706-415-0370
Mailing Address
DESTINA SHANTE REID PA-C
108 EDGEWOOD AVE
LAGRANGE, GA 30241-6116
Phone number: 706-415-0370
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