Deloach, Shana B

Deloach, Shana B is an individual health care provider with primary practice located at 242 King Avenue Ste 120 , Athens GA 30606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Deloach, Shana B can be contacted via phone (706) 475-5700.

Contact Information

Primary practice address
242 King Avenue Ste 120 Athens GA 30606
Phone: (706) 475-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X RN216236 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN216236 Georgia

Profile Details

NPI number 1609218601
LBN Legal business name Deloach, Shana B
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2013
Last updated Jul 12th, 2025 - about last year

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 1609218601 NPPES
Georgia MEDICAID 003142037M
Georgia Other 04702359
Georgia MEDICAID 003142037N
Georgia MEDICAID 003142037J
Georgia MEDICAID 003142037K
Georgia MEDICAID 003142037L
Georgia MEDICAID 003142037O
Georgia Other 1368524

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