Provider Demographics
NPI:1861654089
Name:DRAIA, SHARNA CHARLOTTE (MMSC)
Entity Type:Individual
Prefix:MRS
First Name:SHARNA
Middle Name:CHARLOTTE
Last Name:DRAIA
Suffix:
Gender:F
Credentials:MMSC
Other - Prefix:MISS
Other - First Name:SHARNA
Other - Middle Name:CHARLOTTE
Other - Last Name:GEBAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3026 CLAIRMONT RD NE
Mailing Address - Street 2:APT G
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-1633
Mailing Address - Country:US
Mailing Address - Phone:404-321-7861
Mailing Address - Fax:404-321-7861
Practice Address - Street 1:501 REDMOND RD NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1415
Practice Address - Country:US
Practice Address - Phone:706-802-3017
Practice Address - Fax:706-236-1960
Is Sole Proprietor?:No
Enumeration Date:2008-06-29
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I320216Medicare PIN