Shan David Tully, FNP-C
NPI #1275498131 in Hiram, Georgia
Provider Information
- NPI Number
- 1275498131
- Entity Type
- Individual
- Name
- Shan David Tully, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-C
- Enumeration Date
- Dec 22, 2025
- Last Updated
- Dec 22, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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