Individual
MRS. EMILY ANN BAISE-SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14089 ABERCORN ST, SAVANNAH, GA 31419-1966
(912) 350-2121
(912) 350-2145
Mailing address
14089 ABERCORN ST, SAVANNAH, GA 31419-1966
(912) 350-2121
(912) 350-2145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134349A
—
GA
05
—
003134349B
—
GA
05
—
003134349C
—
GA
05
—
003134349D
—
GA
01
—
P01195450
RAILROAD MEDICARE
GA
Enumeration date
06/15/2009
Last updated
11/14/2014
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