Shawonda Durham

NPI #1255125712 in Jeffersonville, Georgia

Provider Information

NPI Number: 1255125712
Entity Type: Individual
Name: Shawonda Durham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 8, 2025
Last Updated: Apr 8, 2025

Practice Location

Address: 1548 MAIN ST
City: Jeffersonville
State: Georgia
ZIP Code: 31044-3838
Phone: (478) 319-4022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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