Provider Demographics
NPI:1720803034
Name:SHUMATE, ANGELA DENISE (EDD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:DENISE
Last Name:SHUMATE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 CREEDMOOR LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-8119
Mailing Address - Country:US
Mailing Address - Phone:229-869-2993
Mailing Address - Fax:
Practice Address - Street 1:2808 CREEDMOOR LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-8119
Practice Address - Country:US
Practice Address - Phone:229-869-2993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor