Cody, Shuntae
Cody, Shuntae is an individual health care provider with primary practice located at 333 Greenhaven Dr Se , Atlanta GA 30317-3220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Cody, Shuntae can be contacted via phone (404) 453-9910.Contact Information
Primary practice address
333 Greenhaven Dr Se
Atlanta GA 30317-3220
Phone: (404) 453-9910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | CN0028909099 | Georgia |
Profile Details
| NPI number | 1487326435 |
|---|---|
| LBN Legal business name | Cody, Shuntae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2021 |
| Last updated | Sep 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487326435 | NPPES |
| Other | NONE | NONE |
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