License holder summary

SEWELL, SHANDAREDA CHANTAY is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for SEWELL, SHANDAREDA CHANTAY is 325 NORTH JEFF DAVIS DRIVE, Fayetteville 30214. This doctor license is not current. The license was granted 03/03/2006 and expired on 04/30/2016.

Georgia

Composite Medical Board

SEWELL, SHANDAREDA CHANTAY
Medical - Physician Assistant
License number
004742
Date granted
03/03/2006
Date expires
04/30/2016
Class
Medical - Physician Assistant
Status
In Renewal
Address
325 NORTH JEFF DAVIS DRIVE
georgiadoctors.net
ID 38101437
LAST UPDATED 2024-05-06 05:54:43 UTC

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