Provider Demographics
NPI:1609217199
Name:BRUMFIELD, SHAWNA D (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAWNA
Middle Name:D
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHAWNA
Other - Middle Name:D
Other - Last Name:WOODRUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1271 PARKER RD SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-5957
Mailing Address - Country:US
Mailing Address - Phone:770-648-7445
Mailing Address - Fax:
Practice Address - Street 1:1271 PARKER RD SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5957
Practice Address - Country:US
Practice Address - Phone:770-648-7445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor