Individual
TRACEY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1113 WASHINGTON RD, THOMSON, GA 30824-7523
(706) 595-7825
Mailing address
1218 HARDY POINTE DR, EVANS, GA 30809-5281
(706) 504-4240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6823
GA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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