Individual provider · Type 1 NPI
Shelley Fondren
Specialist · Atlanta, GA
NPI number
1922551118
Active
Practice location
5817 Jamerson Dr
Atlanta, GA 30349-7018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT000751 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1922551118
Shelley Fondren's National Provider Identifier is 1922551118, issued on Jul 25, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 25, 2016.