Most Relevant Information
Provider Data
| NPI Number: | 1003541756 |
| Provider Name: | SHAVON J LASHLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN238093 |
Most Important Dates
| Enumeration Date: | 07/18/2022 |
| Last Updated: | 07/18/2022 |
Provider Practice Location
2061 TUDOR DR
MCDONOUGH
GA
302538605
Practice Location Phone/Fax
| Phone: | 9738559528 |
| Fax: |
Provider Mailing Location
2061 TUDOR DR
MCDONOUGH
GA
302538605
Provider Mailing Phone/Fax
| Phone: | 9738559528 |
| Fax: |