Vines, Shewanda L

Vines, Shewanda L is an sole proprietor health care provider with primary practice located at 7267 Tara Blvd , Jonesboro GA 30236-1901. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Vines, Shewanda L can be contacted via phone (770) 471-9532.

Contact Information

Primary practice address
7267 Tara Blvd Jonesboro GA 30236-1901
Phone: (770) 471-9532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH028848 Georgia

Profile Details

NPI number 1790155661
LBN Legal business name Vines, Shewanda L
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2015
Last updated Oct 4th, 2015 - about 10 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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