Provider Demographics
NPI:1881493351
Name:STOBBS, SHELLOI
Entity type:Individual
Prefix:
First Name:SHELLOI
Middle Name:
Last Name:STOBBS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 GOLFE LINKS DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4713
Mailing Address - Country:US
Mailing Address - Phone:678-702-2437
Mailing Address - Fax:
Practice Address - Street 1:3215 GOLFE LINKS DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4713
Practice Address - Country:US
Practice Address - Phone:678-702-2437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical