Individual
COURTNEY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9666
Mailing address
770 SPALDING HEIGHTS DR, SANDY SPRINGS, GA 30350-5539
(770) 401-9190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
118210
TN
Other
Enumeration date
08/07/2018
Last updated
09/18/2025
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