Individual
JOHN SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 WHISPERING PINES CIR, COLUMBIA, SC 29205-4944
(770) 891-2770
Mailing address
109 WHISPERING PINES CIR, COLUMBIA, SC 29205-4944
(770) 891-2770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9982
GA
Other
Enumeration date
10/18/2019
Last updated
11/17/2022
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