Pettis, Shalonda B
Pettis, Shalonda B is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pettis, Shalonda B can be contacted via phone (404) 367-3014.Contact Information
Primary practice address
1255 Highway 54 W
Fayetteville GA 30214-4526
Phone: (404) 367-3014
Fax: (404) 367-3558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004248 | Georgia |
Profile Details
| NPI number | 1447317474 |
|---|---|
| LBN Legal business name | Pettis, Shalonda B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Apr 11th, 2016 - about 10 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.
Popular Providers
-
Mcafee, Jessica
1255 Hwy 54 West , Fayetteville GA 30214 -
Smith, Cynthia M
1275 Highway 54 W Ste 201 , Fayetteville GA 30214-4538 -
Dupont, Michelle Lee
1265 Highway 54 W Suite 304, Fayetteville GA 30214-4548 -
Sanders, Joan S
450 Lanier Ave West , Fayetteville GA 30214 -
Hendley, Donna Elizabeth
132 Old Norton Rd Ste 200 , Fayetteville GA 30215-4873 -
Busby, Kristen N
1336 Highway 54 W Bldg 500 , Fayetteville GA 30214-4574 -
Davis, Donica J
1336 Hwy 54 West Bldg 200 , Fayetteville GA 30214-3211 -
Purnell, Patricia C
1255 Hwy 54 West , Fayetteville GA 30214