Womack, Shannon

Womack, Shannon is an sole proprietor health care provider with primary practice located at 1775 Parker Rd Se Ste 200 , Conyers GA 30094-6654. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Womack, Shannon can be contacted via phone (470) 778-1148.

Contact Information

Primary practice address
1775 Parker Rd Se Ste 200 Conyers GA 30094-6654
Phone: (470) 778-1148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN062876 Georgia

Profile Details

NPI number 1841534617
LBN Legal business name Womack, Shannon
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated May 20th, 2021 - about 5 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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