Provider Demographics
NPI:1093374381
Name:RAWSON, SHAYE ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SHAYE
Middle Name:ELIZABETH
Last Name:RAWSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SHAYE
Other - Middle Name:ELIZABETH
Other - Last Name:RAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3515 CAMP CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344
Mailing Address - Country:US
Mailing Address - Phone:404-344-7337
Mailing Address - Fax:
Practice Address - Street 1:3515 CAMP CREEK PARKWAY
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344
Practice Address - Country:US
Practice Address - Phone:404-344-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant