Shoultz, Michelle R

Shoultz, Michelle R is an individual health care provider with primary practice located at 545 Old Norcross Rd Ste 300 , Lawrenceville GA 30045-3390. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Shoultz, Michelle R can be contacted via phone (770) 963-6300.

Contact Information

Primary practice address
545 Old Norcross Rd Ste 300 Lawrenceville GA 30045-3390
Phone: (770) 963-6300
Fax: (678) 287-1664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004938 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004938 Georgia

Profile Details

NPI number 1457439747
LBN Legal business name Shoultz, Michelle R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 16th, 2010 - about 14 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 1457439747 NPPES
Georgia Other 004938 GEORGIA LICENSE NUMBER

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