Betsill, Shannon Woodall

Betsill, Shannon Woodall is an sole proprietor health care provider with primary practice located at 2500 Hospital Blvd Suite 480, Roswell GA 30076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Betsill, Shannon Woodall can be contacted via phone (678) 762-0676.

Contact Information

Primary practice address
2500 Hospital Blvd Suite 480 Roswell GA 30076
Phone: (678) 762-0676
Fax: (678) 762-7980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN111983 Georgia

Profile Details

NPI number 1346219680
LBN Legal business name Betsill, Shannon Woodall
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Jul 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346219680 NPPES
Georgia MEDICAID 000776685

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