Individual
DR. NEAL DONALD SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
528 S 8TH ST, GRIFFIN, GA 30224-4212
(678) 902-4847
(770) 415-1447
Mailing address
528 S 8TH ST, GRIFFIN, GA 30224-4212
(678) 902-4847
(770) 415-1447
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
047842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148646
—
AL
05
—
402295615P
—
GA
Enumeration date
03/21/2006
Last updated
03/14/2017
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