| Shafaunis Mitchell, | |
|
100 Hamilton Pointe Dr Ste 115, Byron, GA 31008-6271 | |
| (478) 845-3520 | |
| (478) 956-0958 |
| Full Name | Shafaunis Mitchell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 100 Hamilton Pointe Dr Ste 115, Byron, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184261067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT006979 (Georgia) | Primary |
| Provider Name | Middle Georgia Family Rehab |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245672724 PECOS PAC ID: 5395971402 Enrollment ID: O20131120000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Shafaunis Mitchell, Po Box 1552, Byron, GA 31008-1552 Ph: (478) 956-4916 | Shafaunis Mitchell, 100 Hamilton Pointe Dr Ste 115, Byron, GA 31008-6271 Ph: (478) 845-3520 |
Scott Haynes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Summerstone Bnd, Byron, GA 31008 Phone: 770-680-6601 | |
Jennifer Wootson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hamilton Pointe Dr, Byron, GA 31008 Phone: 478-956-4916 | |
Courtney Mader, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1960 Ga-247 Conn, Byron, GA 31008 Phone: 478-654-2000 | |
Deandre Omar Sims, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hamilton Pointe Dr Ste 115, Byron, GA 31008 Phone: 478-845-3520 |