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Individual

WAYNE C. SHEILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2971
(706) 721-1937
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
(706) 722-5187

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
015422
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000112538C
GA
05
G15422
SC
Enumeration date
08/31/2006
Last updated
11/07/2012
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