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Individual

DR. IVY LEE SHUMAN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3694 BAY HILL CT, MARTINEZ, GA 30907-8994
(706) 868-5232
(706) 868-7809
Mailing address
905 MONARCH CIR, STATESBORO, GA 30458-9197
(912) 489-1153
(706) 868-7809

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017110
GA

Other

Enumeration date
07/18/2005
Last updated
07/09/2007
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