Mcmillan, Shadae

Mcmillan, Shadae is an sole proprietor health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcmillan, Shadae can be contacted via phone (770) 918-3000.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Phone: (770) 918-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 02020202 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN263034 Georgia

Profile Details

NPI number 1285186452
LBN Legal business name Mcmillan, Shadae
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2016
Last updated Oct 18th, 2018 - about 6 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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