Most Relevant Information
Provider Data
| NPI Number: | 1003280975 |
| Provider Name: | CHARVETTE GAITONE SHUMAKER-KIRK NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | RN193221 |
Most Important Dates
| Enumeration Date: | 11/16/2015 |
| Last Updated: | 05/30/2023 |
Provider Practice Location
600 CELEBRATE LIFE PKWY
NEWNAN
GA
302658001
Practice Location Phone/Fax
| Phone: | 7704007142 |
| Fax: |
Provider Mailing Location
600 CELEBRATE LIFE PKWY
NEWNAN
GA
302658001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |