SHANA BOYD HACKWORTH

MARIETTA, GA
NPI1710029277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  004400)
Enumeration Date2007-02-13
Last Update Date2010-06-28
Business Address
Mrs. SHANA BOYD HACKWORTH Physician Assistant
111 MARBLE MILL RD NW MARIETTA DERMATOLOGY ASSOCIATES PA
MARIETTA, GA 30060-1047
Phone number: 770-422-1013
Mailing Address
Mrs. SHANA BOYD HACKWORTH Physician Assistant
111 MARBLE MILL RD NW MARIETTA DERMATOLOGY ASSOCIATES PA
MARIETTA, GA 30060-1047
Phone number: 770-422-1013