IndividualActive
Shanice Mosley
NPI 1659954055 · Surgical Technologist · Lawrenceville, GA
Provider details
- NPI number
- 1659954055
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
531 Exam Ct Ste 115
Lawrenceville, GA 30044-5428
Phone: (770) 568-4648
Approximate (ZIP-level) locationGet directions
Mailing address
399 Wayward Wind Dr Sw
Lilburn, GA 30047-6433
Additional practice locations (2)
- 3993 Lawrenceville Hwy Nw Ste 115Lilburn, GA 30047-2831Phone: (770) 559-1973Fax: (470) 454-1459
- 3071 Eastland WaySnellville, GA 30078-6429Phone: (678) 353-1483
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2025-09-11
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.