IndividualActive
Sheira Dennis
NPI 1679097992 · Early Intervention Provider Agency · Conyers, GA
Provider details
- NPI number
- 1679097992
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- SC17028 (GA)
Practice location
3828 Martingale Dr Se
Conyers, GA 30094
Phone: (678) 905-1500
Fax: (678) 905-1337
Mailing address
3828 Martingale Dr Se
Conyers, GA 30094-4195
Registry dates
- Enumerated
- 2017-07-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.