Individual
DONALD HUGH SHUMATE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 238-8073
(706) 238-8081
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN175443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110431A
—
GA
Enumeration date
06/23/2011
Last updated
02/06/2013
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