Provider Demographics
NPI:1710185178
Name:SHEINTAL, DIANNE THORNLEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:THORNLEY
Last Name:SHEINTAL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4158 SUWANEE TRAIL WAY
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-8730
Mailing Address - Country:US
Mailing Address - Phone:770-932-8411
Mailing Address - Fax:770-932-8411
Practice Address - Street 1:3020 SCENIC HWY S
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4614
Practice Address - Country:US
Practice Address - Phone:770-978-1331
Practice Address - Fax:770-978-8580
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2009-11-05
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Provider Licenses
StateLicense IDTaxonomies
GA2129363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical