Search › Georgia › 363AS0400X
Shane Giddens, PA-C
NPI 1356556724 · on the registry since 2007
Practice
- Address
- 1211 Sherwood Park Dr Ne Ste A
Gainesville, GA 30501 - Phone
- (770) 219-3202
- Clinicians at this address
- 25
Additional practice sites
- 771 Old Norcross Rd, Lawrenceville, GA
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- GA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia