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SHELNUTT OBSTETRICS & GYNECOLOGY NPI 1952686248


NPI Information

NPI: 1952686248
Provider Name: SHELNUTT OBSTETRICS & GYNECOLOGY
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D2201610

Address:
1500 OGLETHORPE AVE
SUITE 200B
ATHENS, GA
ZIP 30606
Phone: (706) 227-1164
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SHELNUTT OBSTETRICS & GYNECOLOGY is an obstetrics gynecology in Athens, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SHELNUTT OBSTETRICS & GYNECOLOGY NPI is 1952686248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 200B
ATHENS, GA
ZIP 30606-179
Phone: (706) 227-1164
Fax: (706) 227-1971

The provider's authorized official is John Judson Shelnutt .
The authorized official title is Owner and has the following contact phone number (706) 227-1164.

The CLIA number assigned to this NPI record is 11D2201610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2011 and was last updated on 10/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology046813GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000827197AMEDICAIDGEORGIA
2G15988MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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