| Shan David Tully, FNP-C | |
|
6736 Bill Carruth Pkwy Apt 805, Hiram, GA 30141-3794 | |
| (470) 330-0826 | |
| Not Available |
| Full Name | Shan David Tully |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 6736 Bill Carruth Pkwy Apt 805, Hiram, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275498131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN-NP294893 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shan David Tully, FNP-C 6736 Bill Carruth Pkwy Apt 805, Hiram, GA 30141-3794 Ph: (470) 330-0826 | Shan David Tully, FNP-C 6736 Bill Carruth Pkwy Apt 805, Hiram, GA 30141-3794 Ph: (470) 330-0826 |
Mrs. Sara Hunlock Temple, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Hiram Dr, Hiram, GA 30141 Phone: 678-945-8300 Fax: 770-445-2060 | |
Gabriel Everson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5604 Wendy Bagwell Pkwy Ste 511, Hiram, GA 30141 Phone: 678-447-5668 | |
Aubree Lauren Tant, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mrs. Lucille Travis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 Atlanta Hwy, Hiram, GA 30141 Phone: 404-488-9521 Fax: 404-836-8030 | |
Matthew Lee Estes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 Phone: 770-505-0023 Fax: 770-505-9003 | |
Kelsey Sheffer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-938-9772 | |
Joy Horton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Prince Ct, Hiram, GA 30141 Phone: 770-815-7357 |