Individual
DR. STANLEY J SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 GRADY JOHNSON RD, STATESBORO, GA 30458-6026
(912) 489-6246
(912) 489-6346
Mailing address
5 GRADY JOHNSON RD, STATESBORO, GA 30458-6026
(912) 489-6246
(912) 489-6346
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
043776
GA
207UN0901X
Nuclear Cardiology Physician
043776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000749053A
—
GA
Enumeration date
06/05/2006
Last updated
10/09/2017
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