Individual
MARK A SHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 HOSPITAL DR STE 3, CAMDEN, AR 71701
(870) 837-2888
Mailing address
415 HOSPITAL DR STE 3, CAMDEN, AR 71701-4651
(870) 837-2888
(870) 837-2892
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
23428
KY
208600000X
Surgery Physician
Primary
E-11636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020000A
—
IN
05
—
64234289
—
KY
Enumeration date
06/12/2006
Last updated
08/03/2018
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