Individual
DR. SHEAN ERIC PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 COTTAGE AVE, ENTERPRISE, AL 36330-8552
(706) 315-8742
(334) 255-6959
Mailing address
2 COTTAGE AVE, ENTERPRISE, AL 36330-8552
(706) 315-8742
(334) 255-6959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
045109
GA
207Q00000X
Family Medicine Physician
Primary
MD.28477
AL
2083A0100X
Aerospace Medicine Physician
045109
GA
Other
Enumeration date
02/06/2006
Last updated
04/02/2008
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