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Shima Lavigno, PA-C
Medical Physician Assistant in Suwanee, Georgia
NPI 1679855001

Shima Lavigno is a Medical Physician Assistant based in Suwanee, GA and is specialized in Medical. Shima Lavigno practices in Suwanee, GA and has the professional credentials of PA-C. The NPI Number for Shima Lavigno is 1679855001 and holds a License No. 6185 (Georgia).

The current practice location address for Shima Lavigno is 3890 Johns Creek Pkwy Ste 120, Suwanee, GA and can be reached out via phone at 678-472-9985.

Location: 3890 Johns Creek Pkwy Ste 120, Suwanee, GA, 30024-1285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679855001
Provider Name
Shima Lavigno
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3890 Johns Creek Pkwy Ste 120, Suwanee, GA, 30024-1285
Phone Number
678-472-9985
Fax Number
Provider Enumeration Date
09/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3890 Johns Creek Pkwy Ste 120
City
Suwanee
State
Georgia
Zip
30024-1285
Phone Number
678-472-9985
Fax Number
person
Provider Business Mailing Address Details
Address
3890 Johns Creek Pkwy Ste 120
City
Suwanee
State
Georgia
Zip
30024-1285
Phone Number
678-472-9985
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
6185 (Georgia)
Definition
Definition to come...
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