| Wanda Shaffer, Llc | |
|
5638 Warm Springs Rd Columbus GA 31909-2408 | |
| (706) 575-2221 | |
| Not Available |
| Full Name | Wanda Shaffer, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5638 Warm Springs Rd, Columbus, Georgia |
| Authorized Official Name and Position | Wanda F Shaffer (OWNER) |
| Authorized Official Contact | 7065752221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Shaffer, Llc 5638 Warm Springs Rd Columbus GA 31909-2408 Ph: (706) 575-2221 | Wanda Shaffer, Llc 5638 Warm Springs Rd Columbus GA 31909-2408 Ph: (706) 575-2221 |
| NPI Number | 1730428343 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730428343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004633 (Georgia) | Primary |
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