Individual
SHIMA LAVIGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3890 JOHNS CREEK PKWY STE 120, SUWANEE, GA 30024-1285
(678) 472-9985
Mailing address
3890 JOHNS CREEK PKWY STE 120, SUWANEE, GA 30024-1285
(678) 472-9985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6185
GA
Other
Enumeration date
09/12/2011
Last updated
04/27/2021
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