Individual
SETH SHINGLEDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7105 NORTHLAKE CIR NE # 7105, ATLANTA, GA 30345-2851
(218) 391-6307
Mailing address
7105 NORTHLAKE CIR NE # 7105, ATLANTA, GA 30345-2851
(218) 391-6307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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