Individual
NATHAN EDWARD SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 E HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(706) 787-9399
Mailing address
300 E HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(706) 787-9399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102304
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/03/2021
Last updated
01/23/2025
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