Healthcare Provider Details

I. General information

NPI: 1801724232
Provider Name (Legal Business Name): SHAMINE ALVES AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 WELLBROOK CIR NE
CONYERS GA
30012-3872
US

IV. Provider business mailing address

2935 OAK MEADOW DR
SNELLVILLE GA
30078-2795
US

V. Phone/Fax

Practice location:
  • Phone: 770-922-5458
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: