Provider Demographics
NPI:1154149938
Name:CALDWELL, SHELLEY (CFA)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:958 JOE FRANK HARRIS PKWY SE BLDG A102
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2151
Mailing Address - Country:US
Mailing Address - Phone:770-386-4824
Mailing Address - Fax:770-386-4220
Practice Address - Street 1:958 JOE FRANK HARRIS PKWY SE BLDG A102
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2151
Practice Address - Country:US
Practice Address - Phone:770-386-4824
Practice Address - Fax:770-386-4220
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant