Shellie Videtto Lutz
JOSEPH M STILL BURN CENTERS INC


Address: 3950 Austell Rd, Austell, GA 30106-1121
Phone: 7068639595

Shellie Videtto Lutz (NPI# 1366675787, PAC ID# 7810030897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1366675787
PAC ID by PECOS 7810030897
Professional Enrollment ID I20100201000034
Full Name Shellie Videtto Lutz
Organization Legal Name JOSEPH M STILL BURN CENTERS INC
Address 3950 Austell Rd
Austell
GA 30106-1121
Phone Number 7068639595
Gender F
Medical School MEDICAL COLLEGE OF GEORGIA
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7618963638
Number of Group Practice Members 70
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110177 DOCTORS HOSPITAL

Other Locations

Address Phone Organization
1537 Walton Way, Augusta, GA 30904-3764 7068639595 JOSEPH M STILL BURN CENTERS INC
3651 Wheeler Rd, Augusta, GA 30909-6521 7068639595 JOSEPH M STILL BURN CENTERS INC
3950 Austell Rd, Austell, GA 30106-1121 7068639595 JOSEPH M STILL BURN CENTERS INC

Organization Information

Organization Legal Name JOSEPH M STILL BURN CENTERS INC
Physicians 72

Physicians with the same organization

Name Specialty Organization Address
Mary Kathryn Boggs General Surgery Joseph M Still Burn Centers Inc 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205
John George Rumbaugh Family Medicine Joseph M Still Burn Centers Inc 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868
Bryan Phillip Hendren General Surgery Joseph M Still Burn Centers Inc 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205
William C Lineaweaver Plastic and Reconstructive Surgery Joseph M Still Burn Centers Inc 1850 Chadwick Dr, Jackson, MS 39204-3404
Lauren Michelle Cannon Physician Assistant Joseph M Still Burn Centers Inc 3950 Austell Rd, Austell, GA 30106-1121
Piotr Pawel Skowronski Plastic and Reconstructive Surgery Joseph M Still Burn Centers Inc 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868
Elizabeth Donaldson Physician Assistant Joseph M Still Burn Centers Inc 3950 Austell Rd, Austell, GA 30106-1121
Callie W Carter Physician Assistant Joseph M Still Burn Centers Inc 3950 Austell Rd, Austell, GA 30106-1121
Angela Boyd Nurse Practitioner Joseph M Still Burn Centers Inc 1850 Chadwick Dr, Jackson, MS 39204-3404
S.m.a Zaheed Hassan Plastic and Reconstructive Surgery Joseph M Still Burn Centers Inc 3950 Austell Rd, Austell, GA 30106-1121

Office Location

Street Address 3950 AUSTELL RD
City AUSTELL
State GA
Zip 30106-1121

Physicians in the same location

Name Specialty Organization Address
Bhavik D Mehta Anesthesiology Assistant Mak Anesthesia Holdings, LLC 3950 Austell Rd, Austell, GA 30106-1121
Reza H Mohammad Anesthesiology Assistant Mak Anesthesia Holdings, LLC 3950 Austell Rd, Austell, GA 30106-1121
Y Khalid Siddiq Endocrinology Wellstar Medical Group, LLC 3950 Austell Rd, Austell, GA 30106-1121
Yousef Hindi Hospitalist Wellstar Medical Group, LLC 3950 Austell Rd, Austell, GA 30106-1121
Manu Malepati Hospitalist Wellstar Medical Group, LLC 3950 Austell Rd, Austell, GA 30106-1121
Henry C Nygren Emergency Medicine The Bortolazzo Group, LLC 3950 Austell Rd, Austell, GA 30106-1121
Sonya D Thompson Obstetrics/gynecology Wellstar Medical Group, LLC 3950 Austell Rd, Austell, GA 30106-1121
Gray Ndive Akoegbe Cardiovascular Disease (cardiology) Wellstar Medical Group, LLC 3950 Austell Rd, Austell, GA 30106-1121
Morgan T Maeger Certified Registered Nurse Anesthetist (crna) Mak Anesthesia Holdings, LLC 3950 Austell Rd, Austell, GA 30106-1121
Whitney A Wright Anesthesiology Assistant Mak Anesthesia Holdings, LLC 3950 Austell Rd, Austell, GA 30106-1121
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Physicians in the same zip code

Name Specialty Organization Address
Kristian Stodghill Hospice/palliative Care Wellstar Medical Group, LLC 4040 Hospital W Dr, Austell, GA 30106
Warren Todd Oberle Urology Georgia Urology, Pa 1700 Hospital Dr, Suite 201, Austell, GA 30106
Bennie Dean Mobley Optometry 3999 Austell Rd, Austell, GA 30106-1100
James V Waldron Physician Assistant Piedmont Providers LLC 3820 Medical Park Dr, Austell, GA 30106-1110
Karen J Moore Certified Registered Nurse Anesthetist (crna) Mulkey Anesthesiology Associates, PC 3870 Medical Park Dr, Austell, GA 30106-1110
Ashley W Crocker Certified Registered Nurse Anesthetist (crna) Mulkey Anesthesiology Associates, PC 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110
Omar Hajmurad Anesthesiology Interventional Spine and Pain Management Center, PC 3870 Medical Park Dr, Austell, GA 30106-1110
Megan Rutherford Physician Assistant Piedmont Providers LLC 3820 Medical Park Dr, Austell, GA 30106-1110
Tayler Alyse Walker Certified Registered Nurse Anesthetist (crna) Mulkey Anesthesiology Associates, PC 3870 Medical Park Dr, Austell, GA 30106-1110
Melanie D Marshall Certified Registered Nurse Anesthetist (crna) Mulkey Anesthesiology Associates, PC 3870 Medical Park Dr, Austell, GA 30106-1110
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Competitor

Search similar physicians

City AUSTELL
Zip Code 30106
Specialty PHYSICIAN ASSISTANT
City + Specialty AUSTELL + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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