Organization
PALLIATIVE CARE CONSULTANTS OF SOUTHEAST GEORGIA, LLC
Active
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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