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Kelly Shadman Phillips, PA-C
Physician Assistant in Cumming, Georgia
NPI 1194915496

Kelly Shadman Phillips is a Physician Assistant based in Alpharetta, GA. Kelly Shadman Phillips practices in Cumming, GA and has the professional credentials of PA-C. The NPI Number for Kelly Shadman Phillips is 1194915496 and holds a License No. 0010-03244 (Georgia).

The current practice location address for Kelly Shadman Phillips is 1505 Northside Forsyth Blvd, Cumming, GA and can be reached out via phone at 770-292-6500 and via fax at 770-292-6535.

Location: 1505 Northside Forsyth Blvd, Cumming, GA, 30005-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194915496
Provider Name
Kelly Shadman Phillips
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1505 Northside Forsyth Blvd, Cumming, GA, 30005-3707
Phone Number
770-292-6500
Fax Number
770-292-6535
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003144287F 05 GA
003144287H 05 GA
003144287E 05 GA
institution
Provider Business Practice Location Address Details
Address
1505 Northside Forsyth Blvd
City
Cumming
State
Georgia
Zip
30041
Phone Number
770-292-6500
Fax Number
770-292-6535
person
Provider Business Mailing Address Details
Address
1505 Northside Forsyth Blvd
City
Cumming
State
Georgia
Zip
30041
Phone Number
770-292-6500
Fax Number
770-292-6535
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1512 (Tennessee)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1512 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
0010-03244 (North Carolina)
Definition
Definition to come...
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