Shaw, Imani

Shaw, Imani is an sole proprietor health care provider with primary practice located at 3985 Arkwright Rd Ste 106 , Macon GA 31210-1775. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shaw, Imani can be contacted via phone (478) 477-2070.

Contact Information

Primary practice address
3985 Arkwright Rd Ste 106 Macon GA 31210-1775
Fax: (478) 474-0170
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1639543259
LBN Legal business name Shaw, Imani
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2015
Last updated Nov 19th, 2015 - about 11 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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