Provider Demographics
NPI:1780841676
Name:SILVERMAN, SHAWNA LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:LEE
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11133 ABERCORN ST
Mailing Address - Street 2:STE 10
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1829
Mailing Address - Country:US
Mailing Address - Phone:912-925-3382
Mailing Address - Fax:912-920-1048
Practice Address - Street 1:11133 ABERCORN ST
Practice Address - Street 2:STE 10
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1829
Practice Address - Country:US
Practice Address - Phone:912-925-3382
Practice Address - Fax:912-920-1048
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005319363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant