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

SHAVON POAG

Active Sole Proprietor

SHAVON POAG is a Physical Therapist Assistant healthcare provider located in JONESBORO, Georgia. NPI 1912673245 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · JONESBORO, GA

Registration Details

NPI Number
1912673245
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2021 (5.0237351940746 yrs)
Last Updated
Apr 30, 2024
Sole Proprietor
Yes

Practice Information

Address
122 N MCDONOUGH ST
JONESBORO, GA, 302363023
Browse GA providers · Browse ZIP 30236
Phone
4703647186
Primary Specialty
Physical Therapist Assistant
1744P3200X

Other Physical Therapist Assistant Providers in JONESBORO, GA

Name Credential NPI
FONTONYA MYRICK CERT HAIR LOSS SPEC 1760874853
ARCHIA HALL CERTIFIED HAIR LOSS 1487018875
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.