Doctor Name: | MRS. SHARON LEE SCURRY |
NPI Number: | 1548624141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERTIFIED NURSE AIDE |
License Number: | CN0014191593 |
Business Practice Address: | 1110 Baywood Cir Morrow, GA - 302602193 |
Business Phone Number: | 7703766189 |
Business Fax Number: | |
Mailing Address: | 1110 Baywood Cir, MORROW |
State: | GA |
Postal Code: | 302602193 |
Phone Number: | 7703766189 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2016 |
NPI Last Update Date: | 04/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | CN0014191593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |