IndividualActive
Shelley Mack
NPI 1134435092 · Chore Provider · Grovetown, GA
Provider details
- NPI number
- 1134435092
- Entity type
- Individual
- Primary specialty
- Chore ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
1514 Baldwin Lakes Dr
Grovetown, GA 30813-5887
Phone: (706) 854-0555
Fax: (706) 651-9677
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Baldwin Lakes Dr
Grovetown, GA 30813-5887
Registry dates
- Enumerated
- 2010-08-29
- Last updated
- 2010-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.