Individual
DR. JOHN E. SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1692 GLYNCO PARKWAY, BRUNSWICK, GA 31525
(912) 265-4735
(912) 265-6100
Mailing address
1692 GLYNCO PARKWAY, BRUNSWICK, GA 31525
(912) 265-4735
(912) 265-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35048658-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535906
—
OH
Enumeration date
10/27/2005
Last updated
12/31/2013
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