Shaffer, Don W

Shaffer, Don W is an individual health care provider with primary practice located at 340 Kennestone Hospital Blvd Ste 100 , Marietta GA 30060-1158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shaffer, Don W can be contacted via phone (770) 281-5100.

Contact Information

Primary practice address
340 Kennestone Hospital Blvd Ste 100 Marietta GA 30060-1158
Phone: (770) 281-5100
Fax: (678) 581-7100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 037681 Georgia

Profile Details

NPI number 1124023452
LBN Legal business name Shaffer, Don W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124023452 NPPES
Georgia MEDICAID 00594591F
Georgia MEDICAID 00594591C
Georgia MEDICAID 00594591H
Georgia MEDICAID 00594591E
Georgia Other 1124023452
Georgia MEDICAID 00594591J
Georgia MEDICAID 00594591D

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