Deloach, Shana B

Deloach, Shana B is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Deloach, Shana B can be contacted via phone (770) 297-2200.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 297-2200
Fax: (770) 534-8139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN216236 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN216236 Georgia

Profile Details

NPI number 1609218601
LBN Legal business name Deloach, Shana B
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2013
Last updated Oct 24th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609218601 NPPES
Georgia MEDICAID 003142037L
Georgia Other 04702359
Georgia MEDICAID 003142037N
Georgia Other 1368524
Georgia MEDICAID 003142037K
Georgia MEDICAID 003142037M
Georgia MEDICAID 003142037O
Georgia MEDICAID 003142037J

Popular Providers