Roberts, Shawanica L

Roberts, Shawanica L is an individual health care provider with primary practice located at 6254 Memorial Dr Ste F , Stone Mountain GA 30083-2884. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Roberts, Shawanica L can be contacted via phone (770) 795-0506.

Contact Information

Primary practice address
6254 Memorial Dr Ste F Stone Mountain GA 30083-2884
Phone: (770) 795-0506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR008151 Georgia

Profile Details

NPI number 1083879621
LBN Legal business name Roberts, Shawanica L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Jul 23rd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083879621 NPPES
Georgia Other CHIR008151 LICENSE NUMBER

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