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Shane Ellison Horton, PA-C
Surgical Physician Assistant in Marietta, Georgia
NPI 1992568737

Shane Ellison Horton is a Surgical Physician Assistant based in Snellville, GA and is specialized in Surgical. Shane Ellison Horton practices in Marietta, GA and has the professional credentials of PA-C. The NPI Number for Shane Ellison Horton is 1992568737 and holds a License No. 12133 (Georgia).

The current practice location address for Shane Ellison Horton is 1371 Church Street Ext Ne Ste 200, Marietta, GA and can be reached out via phone at 678-931-8091.

Location: 1371 Church Street Ext Ne Ste 200, Marietta, GA, 30078-5606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992568737
Provider Name
Shane Ellison Horton
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1371 Church Street Ext Ne Ste 200, Marietta, GA, 30078-5606
Phone Number
678-931-8091
Fax Number
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1371 Church Street Ext Ne Ste 200
City
Marietta
State
Georgia
Zip
30060-7913
Phone Number
678-931-8091
Fax Number
person
Provider Business Mailing Address Details
Address
1371 Church Street Ext Ne Ste 200
City
Marietta
State
Georgia
Zip
30060-7913
Phone Number
678-931-8091
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
12133 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
12133 (Georgia)
Definition
Definition to come...
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