Individual provider · Type 1 NPI

Shontavia Charissa Dennis

Contractor · Valdosta, GA

NPI number 1942902879 Active

Practice location

1644 Fresno St
Valdosta, GA 31602-7200

Mailing address

1644 Fresno Street
Valdosta, GA 31602-7200

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1942902879

Shontavia Charissa Dennis's National Provider Identifier is 1942902879, issued on Mar 22, 2023. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Valdosta, GA. The record was last updated on Mar 22, 2023.