SHANEQWA GIPSON

Technician

Active Individual
NPI: 1184207433

Practice Address

242 TUTT RD
Cornelia, GA 30531

Phone: (470) 246-7654

Specialties

Specialty Code Primary License
Technician 374700000X Yes -

Frequently Asked Questions

NPI 1184207433 is the National Provider Identifier for SHANEQWA GIPSON, a Technician provider located in Cornelia, GA. This NPI was enumerated on May 4, 2021.
SHANEQWA GIPSON practices at 242 TUTT RD, Cornelia, GA 30531.

Quick Facts

NPI
1184207433
Type
Individual
Enumerated
May 4, 2021
Last Updated
May 4, 2021

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