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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427021070 NPPES
Georgia MEDICAID 163054290A

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