Individual
GINA SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 EAGLES LANDING PKWY SUITE 300, STOCKBRIDGE, GA 30281-1006
(770) 506-4350
Mailing address
1240 EAGLES LANDING PKWY SUITE 300, STOCKBRIDGE, GA 30281
(770) 506-4350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2007
Last updated
06/25/2023
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