person
Mrs. Shana Boyd Hackworth, PHYSICIANASSISTANT
Medical Physician Assistant in Marietta, Georgia
NPI 1710029277

Shana Boyd Hackworth is a Medical Physician Assistant based in Marietta, GA and is specialized in Medical. Shana Boyd Hackworth practices in Marietta, GA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Shana Boyd Hackworth is 1710029277 and holds a License No. 004400 (Georgia).

The current practice location address for Shana Boyd Hackworth is 111 Marble Mill Rd Nw, Marietta, GA and can be reached out via phone at 770-422-1013 and via fax at 770-514-5996.

Location: 111 Marble Mill Rd Nw, Marietta, GA, 30060-1047
person
Provider Profile Details
NPI Number
1710029277
Provider Name
Shana Boyd Hackworth
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
111 Marble Mill Rd Nw, Marietta, GA, 30060-1047
Phone Number
770-422-1013
Fax Number
770-514-5996
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
111 Marble Mill Rd Nw
City
State
Zip
30060-1047
Phone Number
770-422-1013
Fax Number
770-514-5996
person
Provider Business Mailing Address Details
Address
111 Marble Mill Rd Nw
City
State
Zip
30060-1047
Phone Number
770-422-1013
Fax Number
770-514-5996
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004400 (Georgia)
Definition
Definition to come...
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