location
search-icon
person
Ms. Kerry Kathleen Shuffelbottom, PA-C
Physician Assistant in Pooler, Georgia
NPI 1902102676

Kerry Kathleen Shuffelbottom is a Physician Assistant based in Jacksonville, GA. Kerry Kathleen Shuffelbottom practices in Pooler, GA and has the professional credentials of PA-C. The NPI Number for Kerry Kathleen Shuffelbottom is 1902102676 and holds a License No. 2131 (Georgia).

The current practice location address for Kerry Kathleen Shuffelbottom is 200 Blue Moon Xing Ste 203, Pooler, GA and can be reached out via phone at 912-590-0973 and via fax at 912-590-0180.

Location: 200 Blue Moon Xing Ste 203, Pooler, GA, 32224-0609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902102676
Provider Name
Kerry Kathleen Shuffelbottom
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
200 Blue Moon Xing Ste 203, Pooler, GA, 32224-0609
Phone Number
912-590-0973
Fax Number
912-590-0180
Provider Enumeration Date
01/28/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Y06PS 01 FL BCBS
0032613-00 05 FL
institution
Provider Business Practice Location Address Details
Address
200 Blue Moon Xing Ste 203
City
Pooler
State
Georgia
Zip
31322-9698
Phone Number
912-590-0973
Fax Number
912-590-0180
person
Provider Business Mailing Address Details
Address
200 Blue Moon Xing Ste 203
City
Pooler
State
Georgia
Zip
31322-9698
Phone Number
912-590-0973
Fax Number
912-590-0180
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2131 (South Carolina)
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.
2131 (South Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.