Heath, Janeanna Shell
Heath, Janeanna Shell is an individual health care provider with primary practice located at 225 Hawthorne Park , Athens GA 30606-2151. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Heath, Janeanna Shell can be contacted via phone (706) 613-6136.Contact Information
Primary practice address
225 Hawthorne Park
Athens GA 30606-2151
Phone: (706) 613-6136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 89465 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | T-3429 | Mississippi |
Profile Details
| NPI number | 1740711308 |
|---|---|
| LBN Legal business name | Heath, Janeanna Shell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2017 |
| Last updated | Mar 22nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740711308 | NPPES |
| Georgia | MEDICAID | 003254040B |
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