Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETAL SHIELDS
ActivePETAL SHIELDS is a Community Health Worker healthcare provider located in DALLAS, Georgia. NPI 1336514827 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DALLAS, GA
Registration Details
- NPI Number
- 1336514827
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2015 (10.710692095774 yrs)
- Last Updated
- Dec 9, 2015
Practice Information
- Address
-
121 OMEGA CTDALLAS, GA, 30157Browse GA providers · Browse ZIP 30157
- Phone
- 4047861395
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in DALLAS, GA
| Name | Credential | NPI |
|---|---|---|
| OLUMIDE JOLAYEMI | — | 1396577490 |
| ERICA CARELOCK | — | 1366238321 |
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.