Individual
SHAWN G KASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(574) 232-5928
(574) 232-4888
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(574) 232-4888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003017255
MO
207RC0000X
Cardiovascular Disease Physician
01054448A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
066857
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200373960
—
IN
Enumeration date
09/20/2006
Last updated
01/07/2022
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