Pennant, Shazzanne Kahelia
Pennant, Shazzanne Kahelia is an individual health care provider with primary practice located at 1101 Nortec Dr Se , Conyers GA 30013-5835. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Pennant, Shazzanne Kahelia can be contacted via phone (678) 374-7514.Contact Information
Primary practice address
1101 Nortec Dr Se
Conyers GA 30013-5835
Phone: (678) 374-7514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 100160 | Georgia |
Profile Details
| NPI number | 1235711185 |
|---|---|
| LBN Legal business name | Pennant, Shazzanne Kahelia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2021 |
| Last updated | Jun 11th, 2024 - about 3 months 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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