Shaw, Lori Duckett

Shaw, Lori Duckett is an individual health care provider with primary practice located at 1111 Bullsboro Dr , Newnan GA 30265-2182. 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. Shaw, Lori Duckett can be contacted via phone (770) 683-3739.

Contact Information

Primary practice address
1111 Bullsboro Dr Newnan GA 30265-2182
Phone: (770) 683-3739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 068951 Georgia

Profile Details

NPI number 1083934608
LBN Legal business name Shaw, Lori Duckett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2010
Last updated Jan 6th, 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.

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