Skylark, Markebba Shiray

Skylark, Markebba Shiray is an individual health care provider with primary practice located at 1192A Rockbridge Rd , Stone Mountain GA 30087-2903. 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. Skylark, Markebba Shiray can be contacted via phone (770) 925-2010.

Contact Information

Primary practice address
1192A Rockbridge Rd Stone Mountain GA 30087-2903
Phone: (770) 925-2010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004421 Georgia

Profile Details

NPI number 1104011626
LBN Legal business name Skylark, Markebba Shiray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Jan 25th, 2013 - about 13 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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