Provider Demographics
NPI:1124419437
Name:DOSS, SHELIA
Entity Type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:
Last Name:DOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SHELIA
Other - Middle Name:LOU NEAL
Other - Last Name:DOSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 89
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-0002
Mailing Address - Country:US
Mailing Address - Phone:706-336-3921
Mailing Address - Fax:706-336-3960
Practice Address - Street 1:648 HIGHWAY 334
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30530-5987
Practice Address - Country:US
Practice Address - Phone:706-336-3921
Practice Address - Fax:706-336-3960
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN066515163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse