Most Relevant Information
Provider Data
| NPI Number: | 1003657495 |
| Provider Name: | SHAWNEEKE SEALS |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | CO124996 |
Most Important Dates
| Enumeration Date: | 06/01/2024 |
| Last Updated: | 06/01/2024 |
Provider Practice Location
4191 W OGLETHORPE HWY
HINESVILLE
GA
313135875
Practice Location Phone/Fax
| Phone: | 9123208634 |
| Fax: |
Provider Mailing Location
1412 FOREST LAKE DR
HINESVILLE
GA
313135351
Provider Mailing Phone/Fax
| Phone: | 9123208634 |
| Fax: |