Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANDRA LUNETTE HART, PA-C
Active Sole ProprietorSHANDRA LUNETTE HART, PA-C is a Physician Assistant healthcare provider located in RIVERDALE, Georgia. NPI 1124611017 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RIVERDALE, GA
Registration Details
- NPI Number
- 1124611017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2021 (5.4767265241678 yrs)
- Last Updated
- Nov 20, 2023
- License
-
10236 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
116 UPPER RIVERDALE RD SWRIVERDALE, GA, 302742527Browse GA providers · Browse ZIP 30274
- Phone
- 4045647042
- Fax
- 4042416256
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in RIVERDALE, GA
| Name | Credential | NPI |
|---|---|---|
| KAIA LOWE | PA | 1518024694 |
| BERTA E BOOTH | PA | 1609183805 |
| MRS. CHRISTY JO MORGAN ADAMS | — | 1518477785 |
| JADA HYLAND | — | 1336879857 |
| ANDREA BURKLE | PAC | 1578347720 |
| SHANIKA LEYLA MYLES | — | 1902693732 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.