Boles, Shannon Leigh

Boles, Shannon Leigh is an individual health care provider with primary practice located at 931 Lower Fayetteville Rd Ste J , Newnan GA 30263-5790. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boles, Shannon Leigh can be contacted via phone (770) 253-0170.

Contact Information

Primary practice address
931 Lower Fayetteville Rd Ste J Newnan GA 30263-5790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RN197974 Georgia

Profile Details

NPI number 1134644743
LBN Legal business name Boles, Shannon Leigh
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2017
Last updated Aug 4th, 2017 - 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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