Waddell, Shonda Middleton
Waddell, Shonda Middleton is an individual health care provider with primary practice located at 1790 Presidential Cir Suite C, Snellville GA 30078-5688. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Waddell, Shonda Middleton can be contacted via phone (770) 979-8022.Contact Information
Primary practice address
1790 Presidential Cir Suite C
Snellville GA 30078-5688
Phone: (770) 979-8022
Fax: (770) 979-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5256 | Georgia |
Profile Details
| NPI number | 1720413685 |
|---|---|
| LBN Legal business name | Waddell, Shonda Middleton |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Apr 15th, 2015 - about 11 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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