Individual provider · Type 1 NPI

Shonda Middleton Waddell, P.A.

Medical Physician Assistant · Snellville, GA

NPI number 1720413685 Active

Practice location

1790 Presidential Cir, Suite C
Snellville, GA 30078-5688

Call (770) 979-8022 Map

Fax (770) 979-1098

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5256 (GA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1720413685

Shonda Middleton Waddell, P.A.'s National Provider Identifier is 1720413685, issued on Sep 11, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Snellville, GA. The record was last updated on Apr 15, 2015.