Shamoria Nacole Payne

NPI #1497428213 in Valdosta, Georgia

Provider Information

NPI Number
1497428213
Entity Type
Individual
Name
Shamoria Nacole Payne
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Jul 28, 2021
Last Updated
Jul 28, 2021

Practice Location

Address
1300 MELODY LN
State
Georgia
ZIP Code
31601-7540
Phone
(229) 251-7296

Specialties & Taxonomy Codes

Specialty
Contractor

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