| Doctor Name: | MRS. SHELBA JEAN THIEL |
| NPI Number: | 1265583710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN076354 |
| Business Practice Address: | 1394 Abbie Kilgore Way Loganville, GA - 300527580 |
| Business Phone Number: | 7709850498 |
| Business Fax Number: | |
| Mailing Address: | 1394 Abbie Kilgore Way, LOGANVILLE |
| State: | GA |
| Postal Code: | 300527580 |
| Phone Number: | 7709850498 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN076354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |