Shewmake, Kinzi V
Shewmake, Kinzi V is an individual health care provider with primary practice located at 1301 Sigman Rd Ne Ste 230 , Conyers GA 30012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shewmake, Kinzi V can be contacted via phone (678) 609-4912.Contact Information
Primary practice address
1301 Sigman Rd Ne Ste 230
Conyers GA 30012
Phone: (678) 609-4912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11012924 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 072928 | Georgia |
Profile Details
| NPI number | 1568473809 |
|---|---|
| LBN Legal business name | Shewmake, Kinzi V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Aug 7th, 2018 - about 6 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 | 1568473809 | NPPES |
| Georgia | MEDICAID | 003160187A | |
| Georgia | MEDICAID | 200924280 |
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