Individual
PAUL KEITH SHUMPERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Mailing address
1363 MOUNT ALTO RD SW, ROME, GA 30165-4331
(706) 291-4036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
029783
GA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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