Mrs Michelle Lynn Shifflett, CNM | |
814 Northwood Park Dr, Valdosta, GA 31602-1398 | |
(229) 262-6810 | |
Not Available |
Full Name | Mrs Michelle Lynn Shifflett |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 814 Northwood Park Dr, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073034732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN148517 (Georgia) | Primary |
Entity Name | Southwell Ambulatory Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164069472 PECOS PAC ID: 9234566779 Enrollment ID: O20200224001260 |
Mailing Address | Practice Location Address |
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Mrs Michelle Lynn Shifflett, CNM 313 Philema Rd, Albany, GA 31701-7200 Ph: (229) 300-6865 | Mrs Michelle Lynn Shifflett, CNM 814 Northwood Park Dr, Valdosta, GA 31602-1398 Ph: (229) 262-6810 |
Genevieve E. Delk, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2601 Bemiss Rd, Suite A, Valdosta, GA 31602 Phone: 229-242-6677 Fax: 229-242-1870 | |
Ashley Barker, CMN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-245-0888 | |
Deborah Crews, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Drive, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 | |
Vickie D Hankla, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Drive, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 | |
Stacey C Reid, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 | |
Teresa W Johnson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454 |