person
Michelle R Shoultz, PA-C
Surgical Physician Assistant in Lawrenceville, Georgia
NPI 1457439747

Michelle R Shoultz is a Surgical Physician Assistant based in Lawrenceville, GA and is specialized in Surgical. Michelle R Shoultz practices in Lawrenceville, GA and has the professional credentials of PA-C. The NPI Number for Michelle R Shoultz is 1457439747 and holds a License No. 004938 (Georgia).

The current practice location address for Michelle R Shoultz is 545 Old Norcross Rd Ste 300, Lawrenceville, GA and can be reached out via phone at 770-963-6300 and via fax at 678-287-1664. You can also correspond with Michelle R Shoultz through the mailing address at 545 OLD NORCROSS RD STE 300, LAWRENCEVILLE, GA - 30045-3390 (mailing address contact number: 770-963-6300).

Location: 545 Old Norcross Rd Ste 300, Lawrenceville, GA, 30045-3390
person
Provider Profile Details
NPI Number
1457439747
Provider Name
Michelle R Shoultz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
545 Old Norcross Rd Ste 300, Lawrenceville, GA, 30045-3390
Phone Number
770-963-6300
Fax Number
678-287-1664
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004938 01 GA GEORGIA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
545 Old Norcross Rd Ste 300
City
State
Zip
30045-3390
Phone Number
770-963-6300
Fax Number
678-287-1664
person
Provider Business Mailing Address Details
Address
545 Old Norcross Rd Ste 300
City
State
Zip
30045-3390
Phone Number
770-963-6300
Fax Number
678-287-1664
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004938 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
004938 (Georgia)
Definition
Definition to come...
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