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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAN DAVID TULLY, FNP-C

Active

SHAN DAVID TULLY, FNP-C is a Nurse Practitioner healthcare provider located in HIRAM, Georgia. NPI 1275498131 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · HIRAM, GA

Registration Details

NPI Number
1275498131
Provider Type
Individual
Gender
Male
NPI Issued
Dec 22, 2025 (0.65493110104243 yrs)
Last Updated
Dec 22, 2025
License
APRN-NP294893 (GA)

Practice Information

Address
6736 BILL CARRUTH PKWY APT 805
HIRAM, GA, 301413794
Browse GA providers · Browse ZIP 30141
Phone
4703300826
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in HIRAM, GA

Name Credential NPI
MS. CAROL J SCULLY CNP 1952383192
MRS. DONNA VAN BLADEL WALL NP 1184603045
TABATHA PESHEL NP 1821149139
DEIDRA WHITE NP 1568595775
PATRICIA P NICHOLSON NP 1467718767
TAMIKA D ROSSER NP 1689015257
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.