Individual
JAMES SHINHOLSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MSC10, MACON, GA 31201-2102
(478) 633-9436
Mailing address
777 HEMLOCL STREET, MSC 117, MACON, GA 31201
(478) 633-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN215482
GA
363LG0600X
Gerontology Nurse Practitioner
RN215482
GA
Other
Enumeration date
03/29/2017
Last updated
08/20/2020
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