Mark William Shaffer DPM

NPI 1023015146 - Podiatrist - 213ES0103X

NPI Details
NPI 1023015146
Gender Male
Enumeration Date 07/05/2005
Last Updated 09/20/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
513B GREAT OAKS DR
MONROE GA, 30655-8211, US
Phone (770) 267-9391
Fax (770) 207-7196
Business Location
513B GREAT OAKS DR
MONROE GA, 30655-8211, US
Phone (770) 267-9391
Fax (770) 207-7196
Toxanomy
Taxonomy Code 213ES0103X
License State Georgia
License Number POD000585
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According to our database, Dr. Mark William Shaffer DPM NPI is 1023015146, taxonomy code is 213ES0103X and license number is POD000585, license state is located at Georgia. Mark William Shaffer DPM physically located at 513b Great Oaks Dr, Monroe GA, 30655-8211. NPI Number Mark William Shaffer DPM has the Individual type.

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1023015146 NPI number is provided on an as is basis without warranty of any kind. 1023015146 is maintained by the National Plan & Provider Enumeration System. The contents of Mark William Shaffer DPM are for informational purposes only.