IndividualActive
Shaneqwa Gipson
NPI 1184207433 · Technician · Cornelia, GA
Provider details
- NPI number
- 1184207433
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
242 Tutt Rd
Cornelia, GA 30531-3137
Phone: (470) 246-7654
Approximate (ZIP-level) locationGet directions
Mailing address
242 Tutt Rd
Cornelia, GA 30531-3137
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.