Shrake, Connie Hall
Shrake, Connie Hall is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Shrake, Connie Hall can be contacted via phone (678) 312-3294.Contact Information
Primary practice address
1000 Medical Center Blvd
Lawrenceville GA 30046-7694
Phone: (678) 312-3294
Fax: (678) 312-3282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 46326 | Georgia |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46326 | Georgia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 46326 | Georgia |
Profile Details
NPI number | 1891193082 |
---|---|
LBN Legal business name | Shrake, Connie Hall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2014 |
Last updated | Mar 5th, 2023 - about last year |
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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