Shin, Stanley J

Shin, Stanley J is an individual health care provider with primary practice located at 5 Grady Johnson Rd , Statesboro GA 30458-6026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shin, Stanley J can be contacted via phone (912) 489-6246.

Contact Information

Primary practice address
5 Grady Johnson Rd Statesboro GA 30458-6026
Phone: (912) 489-6246
Fax: (912) 489-6346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 043776 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 043776 Georgia

Profile Details

NPI number 1801835194
LBN Legal business name Shin, Stanley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 9th, 2017 - about 7 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 1801835194 NPPES
Georgia MEDICAID 000749053A

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