Sheree Blair-Larry
Individual provider Active NPI Contractor · Conyers, GA
NPI 1194435289 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1194435289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1215 River Rush LN NE
Conyers, GA 30012-6614 - Phone
- (470) 655-6492
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | Yes |
Addresses
Primary practice location
1215 River Rush LN NE
Conyers, GA 30012-6614
Mailing address
1215 River Rush LN NE
Conyers, GA 30012-6614
Phone (470) 655-6492
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | saslovingcare,com | Health Information Exchange (HIE) |
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.