Boles, Shannon Leigh
Boles, Shannon Leigh is an individual health care provider with primary practice located at 931 Lower Fayetteville Rd Ste J , Newnan GA 30263-5790. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boles, Shannon Leigh can be contacted via phone (770) 253-0170.Contact Information
Primary practice address
931 Lower Fayetteville Rd Ste J
Newnan GA 30263-5790
Phone: (770) 253-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | RN197974 | Georgia |
Profile Details
| NPI number | 1134644743 |
|---|---|
| LBN Legal business name | Boles, Shannon Leigh |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2017 |
| Last updated | Aug 4th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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