Individual
WILLIAM BRUCE SHINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3042
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
029101
GA
208800000X
Urology Physician
15369R
LA
208800000X
Urology Physician
MD15369R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111171A
—
GA
05
—
08951200
—
MS
05
—
1117358
—
LA
Enumeration date
07/17/2006
Last updated
12/07/2012
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