Shaquayla Alls-Terrell

Individual provider Active NPI Registered Nurse · McDonough, GA

NPI 1740988708 · NPPES record last updated Feb 20, 2023

Key facts

NPI
1740988708
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN205370 (GA)
Practice address
805 Pavilion CT Ste D
McDonough, GA 30253-6666
Phone
(470) 597-9097
NPI assigned
Feb 20, 2023
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

State licenses

LicenseStateTypeSpecialty
RN205370GAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN205370 GA Yes

Addresses

Primary practice location

805 Pavilion CT Ste D
McDonough, GA 30253-6666

Mailing address

145 Kimbell Farm Dr
Locust Grove, GA 30248-2167
Phone (770) 776-9495

Other providers in McDonough, GA

All providers in McDonough, GA · Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.