Individual
SHELBY FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 JACKSON ST STE 205, ANDERSON, IN 46016-4387
(765) 683-3160
(765) 646-8367
Mailing address
2101 JACKSON ST STE 205, ANDERSON, IN 46016-4387
(765) 683-3160
(765) 646-8367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003282A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/22/2021
Last updated
02/29/2024
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