Individual provider · Type 1 NPI

Shana Boyd Hackworth, PHYSICIAN ASSISTANT

Medical Physician Assistant · Marietta, GA

NPI number 1710029277 Active

Practice location

111 Marble Mill Rd NW, Marietta Dermatology Associates Pa
Marietta, GA 30060-1047

Fax (770) 514-5996

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X004400 (GA)

Medical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1710029277

Shana Boyd Hackworth, PHYSICIAN ASSISTANT's National Provider Identifier is 1710029277, issued on Feb 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marietta, GA. The record was last updated on Jun 28, 2010.