MS. Shonta K Winbush, PA

NPI #1093816662 in Valdosta, Georgia

Provider Information

NPI Number: 1093816662
Entity Type: Individual
Name: MS. Shonta K Winbush, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 704 GIL HARBIN IND BLVD
City: Valdosta
State: Georgia
ZIP Code: 31602
Phone: (229) 242-9003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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