Individual
SHAWNTE M HALL-KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 HIGHWAY 34 E STE 3000, NEWNAN, GA 30265-6430
(770) 252-6767
(404) 564-5902
Mailing address
PO BOX 102321, ATLANTA, GA 30368-0001
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205575013A
—
GA
01
—
511I080434
MEDICARE
GA
Enumeration date
08/05/2007
Last updated
05/07/2024
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