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Organization

STATESBORO CARDIOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY J SHIN MD (CEO)
(912) 489-6246
Entity
Organization

Contact information

Practice address
5 GRADY JOHNSON RD, STATESBORO, GA 30458-6026
(912) 489-6843
(912) 489-6346
Mailing address
5 GRADY JOHNSON RD, STATESBORO, GA 30458-6026
(912) 489-6843
(912) 489-3125

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300033286A
GA
Enumeration date
07/28/2006
Last updated
11/09/2020
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