Shook, Thomas Earl

Shook, Thomas Earl is an individual health care provider with primary practice located at 230 E Derenne Ave , Savannah GA 31405-6736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shook, Thomas Earl can be contacted via phone (912) 790-4000.

Contact Information

Primary practice address
230 E Derenne Ave Savannah GA 31405-6736
Fax: (912) 790-4407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 31831 Georgia

Profile Details

NPI number 1093896524
LBN Legal business name Shook, Thomas Earl
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 21st, 2016 - about 8 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 1093896524 NPPES
Georgia MEDICAID 000397559K

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