Shontavia Charissa Dennis
Shontavia Charissa Dennis is a Contractor in Valdosta, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1644 Fresno StValdosta, GA 31602-7200
Phone: (229) 262-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1942902879 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | March 22, 2023 |
| Certification date | March 22, 2023 |
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