Individual provider · NPI-1

Shanetia Sontavia Avinger, NP

Nurse Practitioner · Newnan, GA

NPI number1427441179
StatusActive
Last updated in NPPESJul 17, 2020

Details

NPI
1427441179
Entity type
Individual (NPI-1)
Name
Mrs. Shanetia Sontavia Avinger
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2015
Certification date
Jul 17, 2020
Last updated
Jul 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN189154GAYes

Practice location

600 Celebrate Life Pkwy
Newnan, GA 30265-8001

Phone 470-241-7628

Mailing address

1720 Mars Hill Rd Nw Ste 8-156
Acworth, GA 30101-7127

Phone 678-249-4190

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