Individual
DR. JAMES P SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 W 4TH ST STE 201, COOKEVILLE, TN 38501-2476
(931) 783-2143
(931) 783-2152
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9563
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
67366
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME79932
FL
207RP1001X
Pulmonary Disease Physician
67366
TN
207RP1001X
Pulmonary Disease Physician
ME79932
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
67366
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME79932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259073500
—
FL
01
—
49787W
MEDICARE
FL
05
—
Q080849
—
TN
Enumeration date
04/07/2006
Last updated
04/04/2023
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