Individual
DR. SHAWN P FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3675 J DEWEY GRAY CIR, STE. 300, AUGUSTA, GA 30909-1868
(706) 863-9595
(888) 745-3917
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(888) 745-3917
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
73150
GA
2086S0102X
Surgical Critical Care Physician
0101268805
VA
2086S0102X
Surgical Critical Care Physician
73150
GA
2086S0102X
Surgical Critical Care Physician
K5294
TX
2086S0102X
Surgical Critical Care Physician
MD37935
SC
Other
Enumeration date
07/31/2006
Last updated
03/05/2025
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