Giddens, Shane Leon

Giddens, Shane Leon is an individual health care provider with primary practice located at 1211 Sherwood Park Dr Ne Ste A , Gainesville GA 30501. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Giddens, Shane Leon can be contacted via phone (770) 219-3202.

Contact Information

Primary practice address
1211 Sherwood Park Dr Ne Ste A Gainesville GA 30501
Phone: (770) 219-3202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005490 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103541 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005490 Georgia

Profile Details

NPI number 1356556724
LBN Legal business name Giddens, Shane Leon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Oct 15th, 2020 - about 5 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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