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Search › Georgia › 363A00000X

Shandareda Cavazos, PA-C, MMSC

NPI 1538319249 · on the registry since 2008

Practice

Address
1100 Johnson Ferry Rd Ste 410
Atlanta, GA 30342
Phone
(404) 847-0664
Fax
(404) 250-1694
Organisation at this address
Northside Hospital, Inc.
Meghan K Nicolini Phd Pc
Southeastern Surgical Center
Aesthetic Surgery Associates
Atlanta Skin & Aesthetics, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-26

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