Provider Demographics
NPI:1689025991
Name:SOLOMON, SHARIAH MCKENZIE (CNM, FNP-C)
Entity type:Individual
Prefix:
First Name:SHARIAH
Middle Name:MCKENZIE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:CNM, FNP-C
Other - Prefix:
Other - First Name:SHARIAH
Other - Middle Name:
Other - Last Name:MCKENZIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:603 E LAMAR ST
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3737
Mailing Address - Country:US
Mailing Address - Phone:229-928-3444
Mailing Address - Fax:229-928-3446
Practice Address - Street 1:603 E LAMAR ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3737
Practice Address - Country:US
Practice Address - Phone:229-928-3444
Practice Address - Fax:229-928-3446
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN243031363LF0000X, 367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily