Shanley, Buffie L

Shanley, Buffie L is an individual health care provider with primary practice located at 2701 N Decatur Rd , Decatur GA 30033-5918. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Shanley, Buffie L can be contacted via phone (678) 514-1991.

Contact Information

Primary practice address
2701 N Decatur Rd Decatur GA 30033-5918
Phone: (678) 514-1991
Fax: (678) 514-1992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 089818 Georgia

Profile Details

NPI number 1851335210
LBN Legal business name Shanley, Buffie L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 20th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851335210 NPPES
Georgia MEDICAID 000616701A

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