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NPI Code Detail

MEDICARE: MRS. ROXY J SHEFFIELD P.A.

MEDICARE: MRS. ROXY J SHEFFIELD P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant6440GA

General Provider Information

NPI Number : 1831456409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROXY J SHEFFIELD P.A.
Provider Business Mailing Address
First Line : 711 KNIGHT AVE
Second Line :
City : WAYCROSS
State : GA
Zip : 31501-1943
Country : US
Telephone Number : 912-283-9423
Fax Number : 912-283-8204
Provider Business Practice Location Address
First Line : 711 KNIGHT AVE
Second Line :
City : WAYCROSS
State : GA
Zip : 31501-1943
Country : US
Telephone Number : 912-283-9423
Fax Number : 912-283-9204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 12/19/2016

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