Individual provider · Type 1 NPI

Shana Smith Real

Student in an Organized Health Care Education/Training Program · Fayetteville, GA

NPI number 1447130075 Active

Practice location

255 Stonewall Ave W Apt 2
Fayetteville, GA 30214-1522

Call (859) 251-4700 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRN274577 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447130075

Shana Smith Real's National Provider Identifier is 1447130075, issued on Sep 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 4, 2025.