Shy, Willie

Shy, Willie is an sole proprietor health care provider with primary practice located at 3621 Hwy 212 Sw , Conyers GA 30094. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Shy, Willie can be contacted via phone (404) 725-5793.

Contact Information

Primary practice address
3621 Hwy 212 Sw Conyers GA 30094
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Georgia

Profile Details

NPI number 1487345583
LBN Legal business name Shy, Willie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2023
Last updated May 18th, 2023 - about 3 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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