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MR. SAMMY LEE SHEARD RN

Critical Care Medicine >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1366681280

Individual Registrant:
MR. SAMMY LEE SHEARD RN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1408 LILLY POND RD  SLBANY, GA 31707 US
Tel: 229-485-6489  Fax: --

Contact information for business:
1408 LILLY POND PO BOX 5901 ALBANY, GA 31706 US
Tel: 229-485-6489  Fax: --

Registration Information:
NPI: 1366681280
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0200XNursing Service Providers
Registered Nurse
Critical Care Medicine
GARN178173

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1

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