Individual
JARED R SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265-5631
(770) 502-2175
(770) 254-7837
Mailing address
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265-3190
(770) 502-2175
(770) 254-7837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5930
GA
Other
Enumeration date
09/21/2010
Last updated
07/30/2013
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