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1710029277
SHANA BOYD HACKWORTH
MARIETTA, GA
NPI
1710029277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 004400)
Enumeration Date
2007-02-13
Last Update Date
2010-06-28
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
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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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