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
Phone: (706) 227-1164
Fax: (706) 227-1971
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407823719 | NPPES |
Georgia | MEDICAID | 000827197A |
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