Shipra Bansal
Shipra Bansal is a Student in an Organized Health Care Education/Training Program in Blue Ridge, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
330 Progress Cir Ste CBlue Ridge, GA 30513-6262
Phone: (678) 365-0322
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN123561 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1427898345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 29, 2024 |
| Last updated in NPPES | August 8, 2024 |
| Certification date | August 8, 2024 |
| Mailing address | 501 Wales Dr, Johns Creek, GA 30022-8404 |