Individual
JAMES G SHIELDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1865 LIME ST STE 101, FERNANDINA BEACH, FL 32034-4779
(904) 321-2422
(904) 321-2434
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 212-1351
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
027911
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME134552
FL
208VP0014X
Interventional Pain Medicine Physician
27911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023177600
—
FL
01
—
JF010Z
MEDICARE
—
Enumeration date
05/18/2006
Last updated
08/30/2022
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