Smith, Shade

Smith, Shade is an individual health care provider with primary practice located at 1605 Chantilly Dr Ne Ste 300 , Atlanta GA 30324-3270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smith, Shade can be contacted via phone (404) 785-5437.

Contact Information

Primary practice address
1605 Chantilly Dr Ne Ste 300 Atlanta GA 30324-3270
Phone: (404) 785-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 233880 Georgia

Profile Details

NPI number 1902303985
LBN Legal business name Smith, Shade
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2018
Last updated Apr 6th, 2018 - about 8 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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