Organization
MARK W. SHAFFER, DPM
Active
Organization
MARK W. SHAFFER, DPM
Active
Other names
MARK W. SHAFFER, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM SHAFFER DPM (PODIATRIST/OWNER)
(770) 267-9391
Entity
Organization
Contact information
Practice address
513B GREAT OAKS DR, MONROE, GA 30655-8211
(770) 267-9391
(770) 207-7196
Mailing address
513B GREAT OAKS DR, MONROE, GA 30655-8211
(770) 267-9391
(770) 207-7196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
09/20/2010
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