Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANDAREDA CHANTAY CAVAZOS, PA-C, MMSC
ActiveSHANDAREDA CHANTAY CAVAZOS, PA-C, MMSC is a Physician Assistant healthcare provider located in ATLANTA, Georgia. NPI 1538319249 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ATLANTA, GA
Registration Details
- NPI Number
- 1538319249
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2008 (17.851225425483 yrs)
- Last Updated
- Aug 26, 2024
- License
-
004742 (GA)
Practice Information
- Address
-
1100 JOHNSON FERRY RD STE 410ATLANTA, GA, 303421709Browse GA providers · Browse ZIP 30342
- Phone
- 4048470664
- Fax
- 4042501694
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| LEE A COULTER | P.A.-C | 1942207535 |
| MRS. ANNE OLESEN | P.A. | 1215937743 |
| ROBERT B DOAN | PA C | 1083606172 |
| MRS. NANCY C MCINNIS | PA | 1871585158 |
| HILARY R KARP | PA-C | 1245212158 |
| JAIME G ACKERMAN | PA-C | 1013992544 |
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.