Individual
MISS SHAINA LINELL MCGORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
907 18TH ST E, SUITE150, TIFTON, GA 31794-3643
(229) 382-7120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005098
GA
Other
Enumeration date
06/18/2008
Last updated
06/24/2015
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