Stormant, Shad Ashton

Stormant, Shad Ashton is an individual health care provider with primary practice located at 1302 Plant Ave , Waycross GA 31501-3537. He 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 / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stormant, Shad Ashton can be contacted via phone (912) 490-5080.

Contact Information

Primary practice address
1302 Plant Ave Waycross GA 31501-3537
Phone: (912) 490-5080
Fax: (912) 490-5081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 079703 Georgia

Profile Details

NPI number 1295084374
LBN Legal business name Stormant, Shad Ashton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 28th, 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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