Shoemaker, Mark Macgillivray
Shoemaker, Mark Macgillivray is an individual health care provider with primary practice located at 406 W 1St Ave , Albany GA 31701-2202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shoemaker, Mark Macgillivray can be contacted via phone (229) 439-9400.Contact Information
Primary practice address
406 W 1St Ave
Albany GA 31701-2202
Phone: (229) 439-9400
Fax: (229) 436-3718
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 029781 | Georgia |
Profile Details
NPI number | 1225146699 |
---|---|
LBN Legal business name | Shoemaker, Mark Macgillivray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225146699 | NPPES |
Georgia | Other | 237601 | BLUE CROSS BLUE SHIELD |
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