Shannon Leigh Boles, PNP

NPI #1134644743 in Newnan, Georgia

Provider Information

NPI Number: 1134644743
Entity Type: Individual
Name: Shannon Leigh Boles, PNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: PNP
Enumeration Date: Aug 4, 2017
Last Updated: Aug 4, 2017

Practice Location

Address: 931 LOWER FAYETTEVILLE RD STE J
City: Newnan
State: Georgia
ZIP Code: 30263-5790
Phone: (770) 253-0170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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