Mack, Shelley Diane

Mack, Shelley Diane is an sole proprietor health care provider with primary practice located at 1514 Baldwin Lakes Dr , Grovetown GA 30813-5887. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Mack, Shelley Diane can be contacted via phone (706) 854-0555.

Contact Information

Primary practice address
1514 Baldwin Lakes Dr Grovetown GA 30813-5887
Phone: (706) 854-0555
Fax: (706) 651-9677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1134435092
LBN Legal business name Mack, Shelley Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2010
Last updated Aug 29th, 2010 - about 15 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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