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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANEQUE METELLUS

Active Sole Proprietor

SHANEQUE METELLUS is a Case Management Agency healthcare provider located in MARIETTA, Georgia. NPI 1225746191 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · MARIETTA, GA

Registration Details

NPI Number
1225746191
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2022 (3.7933162055893 yrs)
Last Updated
Nov 9, 2022
Sole Proprietor
Yes

Practice Information

Address
1850 CHARDIN WAY
MARIETTA, GA, 300622141
Browse GA providers · Browse ZIP 30062
Phone
6787049503
Primary Specialty
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.