Most Relevant Information
Provider Data
| NPI Number: | 1003242504 |
| Provider Name: | SHELLEY S STATON PAAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 006959 |
Most Important Dates
| Enumeration Date: | 09/17/2013 |
| Last Updated: | 09/17/2013 |
Provider Practice Location
1000 JOHNSON FERRY RD
ATLANTA
GA
303421606
Practice Location Phone/Fax
| Phone: | 7706459181 |
| Fax: | 7706458455 |
Provider Mailing Location
3155 N POINT PKWY STE F100
ALPHARETTA
GA
300055495
Provider Mailing Phone/Fax
| Phone: | 7706459181 |
| Fax: | 7706458455 |