Shelnutt, John Judson

Shelnutt, John Judson is an sole proprietor health care provider with primary practice located at 1500 Oglethorpe Ave Suite 200B, Athens GA 30606-2179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shelnutt, John Judson can be contacted via phone (706) 227-1164.

Contact Information

Primary practice address
1500 Oglethorpe Ave Suite 200B Athens GA 30606-2179
Fax: (706) 227-1971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 046813 Georgia

Profile Details

NPI number 1407823719
LBN Legal business name Shelnutt, John Judson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2006
Last updated Sep 30th, 2011 - about 13 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 1407823719 NPPES
Georgia MEDICAID 000827197A

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