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Individual

SHIRLEY MEAS MAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0811
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0811

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
159612
FL
207P00000X
Emergency Medicine Physician
Primary
95111
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/08/2019
Last updated
05/22/2024
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