Provider Information for 1619548716
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SHIRNEL ALLEYNE-GRANT
Sex: Female
NPI: 1619548716
Last Updated: 2021-07-08
Certification Date: 2021-07-08
Certification Date: 2021-07-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619548716 | ||||||||
| Enumeration Date | 2021-07-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2204 RIVER RD ELLENWOOD, GA 30294-1107 United States Phone: 404-357-1506 | Fax: | ||||||||
| Primary Practice Address | 2204 RIVER RD ELLENWOOD, GA 30294-1107 United States Phone: 404-357-1506 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|