Individual
GEORGE D SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 BLUEBIRD BLVD, POST OFFICE BOX 1466, FORT VALLEY, GA 31030-5083
(478) 825-8954
Mailing address
503 BLUE BIRD BOULEVARD, POST OFFICE BOX 1466, FORT VALLEY, GA 31030
(478) 825-8954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28214
GA
Other
Enumeration date
05/27/2008
Last updated
04/26/2026
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