Organization
SHELNUTT OBSTETRICS & GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JUDSON SHELNUTT MD (OWNER)
(706) 227-1164
Entity
Organization
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 200B, ATHENS, GA 30606-2179
(706) 227-1164
(706) 227-1971
Mailing address
1500 OGLETHORPE AVE, SUITE 200B, ATHENS, GA 30606-2179
(706) 227-1164
(706) 227-1971
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
046813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000827197A
—
GA
Enumeration date
10/18/2011
Last updated
10/18/2011
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