Shorter, George Wiley

Shorter, George Wiley is an individual health care provider with primary practice located at Vamc - Unit 9 - 116B 619 S. Marion Ave, Lake City FL 32025. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shorter, George Wiley can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
Vamc - Unit 9 - 116B 619 S. Marion Ave Lake City FL 32025
Phone: (386) 755-3016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1244 Alabama

Profile Details

NPI number 1295770535
LBN Legal business name Shorter, George Wiley
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - about 18 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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