Shotwell, Michael W
Shotwell, Michael W is an sole proprietor health care provider with primary practice located at 684 Sixes Rd Suite 225, Holly Springs GA 30115-8721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shotwell, Michael W can be contacted via phone (770) 704-6101.Contact Information
Primary practice address
684 Sixes Rd Suite 225
Holly Springs GA 30115-8721
Phone: (770) 704-6101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 053168 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME127994 | Florida |
Profile Details
| NPI number | 1427021070 |
|---|---|
| LBN Legal business name | Shotwell, Michael W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427021070 | NPPES |
| Georgia | MEDICAID | 163054290A |
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