Anthony, Keishanna Bernae'

Anthony, Keishanna Bernae' is an individual health care provider with primary practice located at 1463 Jones Ave , Valdosta GA 31601-4294. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Anthony, Keishanna Bernae' can be contacted via phone (770) 354-2382.

Contact Information

Primary practice address
1463 Jones Ave Valdosta GA 31601-4294
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 056311378 Georgia

Profile Details

NPI number 1548736630
LBN Legal business name Anthony, Keishanna Bernae'
Credentials BA, PP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2018
Last updated Oct 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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