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

MS. KERRY KATHLEEN SHUFFELBOTTOM, PA-C

Active

MS. KERRY KATHLEEN SHUFFELBOTTOM, PA-C is a Physician Assistant healthcare provider located in POOLER, Georgia. NPI 1902102676 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · POOLER, GA

Registration Details

NPI Number
1902102676
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2011 (15.528553431889 yrs)
Last Updated
Oct 12, 2023
Licenses
2131 (SC)
2131 (SC)

Practice Information

Address
200 BLUE MOON XING STE 203
POOLER, GA, 313229698
Browse GA providers · Browse ZIP 31322
Phone
9125900973
Fax
9125900180
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in POOLER, GA

Name Credential NPI
CHERI K. JOHNSON PA-C 1932297967
CHRISTOPHER ROBIN ALDEN 1225363708
MR. DANIEL LUIS ORSINI SFIDC 1497098875
MELINDA MATHERLY LAVECCHIA PA 1932625209
LAUREN EMBRY LALLI PA 1639657778
ALIVIA MCMAHAN PA-C 1164042677
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.