Shaw, Amanda Elizabeth

Shaw, Amanda Elizabeth is an individual health care provider with primary practice located at 495 Charles Hardy Pkwy , Dallas GA 30157-5723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shaw, Amanda Elizabeth can be contacted via phone (770) 445-2128.

Contact Information

Primary practice address
495 Charles Hardy Pkwy Dallas GA 30157-5723
Phone: (770) 445-2128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN210233 Georgia

Profile Details

NPI number 1104216639
LBN Legal business name Shaw, Amanda Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2015
Last updated Feb 9th, 2020 - about 6 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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