Sewell, Shandareda

Sewell, Shandareda is an individual health care provider with primary practice located at 1110 W Peachtree St Nw Ste 1050 , Atlanta GA 30309-3609. She 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 / Perinatal. Physician Assistants & Advanced Practice Nursing Providers / Perinatal is her primary health care specialty. Sewell, Shandareda can be contacted via phone (404) 847-0664.

Contact Information

Primary practice address
1110 W Peachtree St Nw Ste 1050 Atlanta GA 30309-3609
Phone: (404) 847-0664
Fax: (404) 250-1694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004742 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 364SP1700X 004742 Georgia

Profile Details

NPI number 1538319249
LBN Legal business name Sewell, Shandareda
Credentials PA-C, MMSC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Dec 13th, 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.

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