Mayfield, Shannon
Mayfield, Shannon is an individual health care provider with primary practice located at 290 Country Club Dr Ste 210 , Stockbridge GA 30281-9022. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Mayfield, Shannon can be contacted via phone (770) 538-1723.Contact Information
Primary practice address
290 Country Club Dr Ste 210
Stockbridge GA 30281-9022
Phone: (770) 538-1723
Fax: (470) 202-9820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | RN159998 | Georgia |
Profile Details
| NPI number | 1750627105 |
|---|---|
| LBN Legal business name | Mayfield, Shannon |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2012 |
| Last updated | Oct 19th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750627105 | NPPES |
| Georgia | MEDICAID | 003129843B |
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