Individual
DR. RICHARD O SHIELDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Mailing address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
026935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000327082
—
GA
05
—
000327082D
—
GA
05
—
000327082F
—
GA
01
—
10058891
AMERIGROUP
GA
05
—
G26935
—
SC
Enumeration date
06/21/2006
Last updated
05/27/2008
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