| NPI | 1851170542 |
|---|---|
| Other Name | SHANTA MATHIS MCWHORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN208865) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |