Leah Shupe
Nurse Practitioner - Family Medicine
2045 Highway 34 E
Newnan
, Georgia 30265-1327
Leah Shupe
Nurse Practitioner - Family Medicine
2045 Highway 34 E
Newnan
, Georgia 30265-1327
(770) 422-8816
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Leah Shupe
- 835 Cogburn Ave Nw Ste 250
- Marietta, GA
- Zip : 30060-1056
- Fax : (770) 422-8816
- Phone : (770) 422-5557
Second Address
- Leah Shupe
- 2045 Highway 34 E
- Newnan, GA
- Zip : 30265-1327
- Fax : (770) 502-8822
- Phone : (770) 502-0202
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FAQs
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What type of doctor is Leah Shupe
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN214000 | GA |
National Provider Identifier
| NPI | 1003218520 |
|---|---|
| Provider Name | Leah Shupe |
| First Address | Marietta, GA 30060-1056 |
| Second Address | Newnan, GA 30265-1327 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2014 |
| Last Update Date | 12/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.