Individual
DR. SHAWN DAVID VANDEMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2409 N PATTERSON ST STE 200, VALDOSTA, GA 31602-2512
(229) 333-1711
(229) 333-1719
Mailing address
PO BOX 0070, VALDOSTA, GA 31603-0070
(229) 333-1711
(229) 333-1719
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
057510
GA
Other
Enumeration date
06/06/2006
Last updated
03/26/2018
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