Individual
MS. CHARVETTE GAITONE SHUMAKER-KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-; AGPCNP
Contact information
Practice address
36 LINDEN AVE NE, ATLANTA, GA 30308-2951
(404) 778-1900
Mailing address
7891 GABLE DR, DOUGLASVILLE, GA 30135-6403
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
RN193221
GA
363L00000X
Nurse Practitioner
RN193221
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN193221
GA
363LA2200X
Adult Health Nurse Practitioner
RN193221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173092B
—
GA
Enumeration date
11/16/2015
Last updated
10/15/2025
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