Winbush, Shonta K
Winbush, Shonta K is an individual health care provider with primary practice located at 704 Gil Harbin Ind Blvd , Valdosta GA 31602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Winbush, Shonta K can be contacted via phone (229) 242-9003.Contact Information
Primary practice address
704 Gil Harbin Ind Blvd
Valdosta GA 31602
Phone: (229) 242-9003
Fax: (229) 242-0490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3776 | Georgia |
Profile Details
| NPI number | 1093816662 |
|---|---|
| LBN Legal business name | Winbush, Shonta K |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1093816662 | NPPES |
| Georgia | MEDICAID | 244832811A |
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