Individual
DR. JOE A SHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
116 CARRIAGE WAY SE, ROME, GA 30161-5503
(706) 528-4136
Mailing address
116 CARRIAGE WAY SE, ROME, GA 30161-5503
(706) 528-4136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60989
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614523049A
—
GA
Enumeration date
11/07/2005
Last updated
05/04/2016
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