Kerry K. Shuffelbottom, PA-C
Physician Assistant · Pooler, GA
UnclaimedPA-CNPI 1902102676
- Primary taxonomy
- 363A00000X
- Enumerated
- 2011-01-28
- Practice location
- Pooler, GA
- Last NPPES update
- 2023-10-12
State licenses
- SC · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.