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
Fax: (229) 436-3718
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225146699 NPPES
Georgia Other 237601 BLUE CROSS BLUE SHIELD

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