Shaneqwa Gipson

NPI #1184207433 in Cornelia, Georgia

Provider Information

NPI Number: 1184207433
Entity Type: Individual
Name: Shaneqwa Gipson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 242 TUTT RD
City: Cornelia
State: Georgia
ZIP Code: 30531-3137
Phone: (470) 246-7654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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