Organization
PALLIATIVE CARE CONSULTANTS OF SOUTHEAST GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SHANER (JOHN SHANER, MD)
(912) 289-9200
Entity
Organization
Contact information
Practice address
1692 GLYNCO PARKWAY, SUITE 100, BRUNSWICK, GA 31525
(912) 289-9200
Mailing address
1692 GLYNCO PARKWAY, SUITE 100, BRUNSWICK, GA 31525
(912) 289-9200
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
065178
GA
Other
Enumeration date
08/16/2012
Last updated
08/20/2012
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