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
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