Chatman, Shannon

Chatman, Shannon is an individual health care provider with primary practice located at 58 Big A Rd , Toccoa GA 30577-6017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Chatman, Shannon can be contacted via phone (706) 886-3148.

Contact Information

Primary practice address
58 Big A Rd Toccoa GA 30577-6017
Fax: (706) 886-3843
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 153918 Georgia

Profile Details

NPI number 1538151253
LBN Legal business name Chatman, Shannon
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Aug 19th, 2015 - about 11 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 1538151253 NPPES
Georgia MEDICAID 000906331B

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