Individual
CARLTON JOSHUA SHUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
61 WHITCHER ST NE, SUITE 1100, MARIETTA, GA 30060-1176
(770) 422-3290
(770) 422-0287
Mailing address
61 WHITCHER ST NE, SUITE 1100, MARIETTA, GA 30060-1176
(770) 422-3290
(770) 422-0287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006165
GA
363AS0400X
Surgical Physician Assistant
006165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143723A
—
GA
05
—
003143723C
—
GA
05
—
003143723D
—
GA
Enumeration date
07/01/2011
Last updated
04/16/2014
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