Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 82800 | GA |
NPI | 1013321694 |
---|---|
Provider Name | Dr. Sheena Elois Favors |
First Address | Albany, GA 31707-2983 |
Second Address | Albany, GA 31701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2014 |
Last Update Date | 13/09/2019 |