Individual
GWENDOLYN LEIGHANN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1340 UPPER HEMBREE RD, ROSWELL, GA 30076-0927
(770) 569-0777
(770) 569-7631
Mailing address
1505 NORTHSIDE BLVD STE 2000, CUMMING, GA 30041-6205
(770) 781-4010
(770) 781-5334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2510
GA
Other
Enumeration date
07/25/2013
Last updated
02/05/2018
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