Cher Renee Shell

NPI #1255990115 in Leesburg, Georgia

Provider Information

NPI Number: 1255990115
Entity Type: Individual
Name: Cher Renee Shell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jun 13, 2019
Last Updated: Jun 13, 2019

Practice Location

Address: 169 HEDGEROW DR
City: Leesburg
State: Georgia
ZIP Code: 31763-5554
Phone: (478) 244-4663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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