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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