| Ms Kerry Kathleen Shuffelbottom, PA-C | |
|
200 Blue Moon Xing Ste 203, Pooler, GA 31322-9698 | |
| (912) 590-0973 | |
| (912) 590-0180 |
| Full Name | Ms Kerry Kathleen Shuffelbottom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 200 Blue Moon Xing Ste 203, Pooler, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902102676 | NPI | - | NPPES |
| Y06PS | Other | FL | BCBS |
| 0032613-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2131 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 2131 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kerry Kathleen Shuffelbottom, PA-C 5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609 Ph: (904) 223-3321 | Ms Kerry Kathleen Shuffelbottom, PA-C 200 Blue Moon Xing Ste 203, Pooler, GA 31322-9698 Ph: (912) 590-0973 |
Alivia Mcmahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Holmes Ct, Pooler, GA 31322 Phone: 912-254-4401 | |
Mallory Irene Chiang, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Blue Moon Xing Ste 203, Pooler, GA 31322 Phone: 912-590-0973 Fax: 912-590-0180 | |
Christopher Robin Alden, Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Saint Josephs Candler Dr Ste 100, Pooler, GA 31322 Phone: 912-737-2250 Fax: 912-355-6914 | |
Beatriz Aponte Bidgood, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17 Marshland Pointe, Pooler, GA 31322 Phone: 919-324-5500 | |
Grant Westbrook, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Grand Central Blvd Ste 108, Pooler, GA 31322 Phone: 912-748-1515 | |
Lauren Embry Lalli, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 135 Canal St Ste 500a, Pooler, GA 31322 Phone: 912-335-3876 | |
David Jeffrey Hanson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Grand Central Blvd Ste 108, Pooler, GA 31322 Phone: 912-748-1515 Fax: 844-807-3782 |