Individual provider · Type 1 NPI

Kerry Kathleen Shuffelbottom, PA-C

Physician Assistant · Pooler, GA

NPI number 1902102676 Active

Practice location

200 Blue Moon Xing Ste 203
Pooler, GA 31322-9698

Call (912) 590-0973 Map

Fax (912) 590-0180

Mailing address

5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 32224-0609

Other practice locations

  • 3408 Trout St, Brunswick, GA 31520-3622 · (912) 590-0973

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2131 (SC)
Physician Assistant Primary 363A00000X2131 (SC)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

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About NPI 1902102676

Kerry Kathleen Shuffelbottom, PA-C's National Provider Identifier is 1902102676, issued on Jan 28, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pooler, GA. The record was last updated on Oct 12, 2023.