Kelly Shadman Phillips in Alpharetta - Physician Assistant
Kelly Shadman Phillips - NPI 1194915496
Kelly Shadman Phillips is a Physician Assistant in Alpharetta, Georgia. Kelly Shadman Phillips practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Shadman Phillips is 1194915496. The last update date is 2020-06-02.
Kelly Shadman Phillips's current location address is 3400 Old Milton Pkwy # C, Alpharetta, Georgia. You can contact this provider via phone number 7706674337 and fax number 7706674338. The mailing address for Kelly Shadman Phillips is 3400 Old Milton Pkwy # C, Alpharetta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Shadman Phillips |
|---|---|
| Address | 3400 Old Milton Pkwy # C, Alpharetta, Georgia |
| Phone Number | 7706674337 |
| Fax Number | 7706674338 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194915496 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2020-06-02 |
Provider Mailing Address Detail
| Address | 3400 Old Milton Pkwy # C |
|---|---|
| City | Alpharetta |
| State | Georgia (GA) |
| Post Code | 300053707 |
| Phone Number | 7706674337 |
| Fax Number | 7706674338 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-03244 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003144287F | GA | -- | |
| 003144287H | GA | -- | |
| 003144287E | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly Shadman Phillips by the Centers for Medicare & Medicaid Services?
The Kelly Shadman Phillips has been assigned the NPI (National Provider Identifier) 1194915496 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kelly Shadman Phillips is located?
The Kelly Shadman Phillips is situated at the following address: 3400 Old Milton Pkwy # C, Alpharetta, GA, 300053707.
What is the Kelly Shadman Phillips's area of specialization and corresponding taxonomy classification?
The Kelly Shadman Phillips's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Kelly Shadman Phillips receive its 1194915496 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Shadman Phillips was assigned its 1194915496 on 2007-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly Shadman Phillips most recently updated or refreshed?
The details pertaining to the Kelly Shadman Phillips, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-02.
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