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Shad Ashton Stormant
Family Medicine Physician in Waycross, Georgia
NPI 1295084374

Shad Ashton Stormant is a Family Medicine Physician based in Waycross, GA. Shad Ashton Stormant practices in Waycross, GA. The NPI Number for Shad Ashton Stormant is 1295084374 and holds a License No. (Georgia).

The current practice location address for Shad Ashton Stormant is 1302 Plant Ave, Waycross, GA and can be reached out via phone at 912-490-5080 and via fax at 912-490-5081.

Location: 1302 Plant Ave, Waycross, GA, 31501-3537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295084374
Provider Name
Shad Ashton Stormant
Credential
Provider Entity Type
Individual
Gender
Male
Address
1302 Plant Ave, Waycross, GA, 31501-3537
Phone Number
912-490-5080
Fax Number
912-490-5081
Provider Enumeration Date
09/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1302 Plant Ave
City
Waycross
State
Georgia
Zip
31501-3537
Phone Number
912-490-5080
Fax Number
912-490-5081
person
Provider Business Mailing Address Details
Address
1302 Plant Ave
City
Waycross
State
Georgia
Zip
31501-3537
Phone Number
912-490-5080
Fax Number
912-490-5081
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
079703 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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