person
Dr. Mark William Shaffer, DPM
Foot & Ankle Surgery Podiatrist in Monroe, Georgia
NPI 1023015146

Mark William Shaffer is a Foot & Ankle Surgery Podiatrist based in Monroe, GA and is specialized in Foot & Ankle Surgery. Mark William Shaffer practices in Monroe, GA and has the professional credentials of DPM. The NPI Number for Mark William Shaffer is 1023015146 and holds a License No. POD000585 (Georgia).

The current practice location address for Mark William Shaffer is 513B Great Oaks Dr, Monroe, GA and can be reached out via phone at 770-267-9391 and via fax at 770-207-7196.

Location: 513B Great Oaks Dr, Monroe, GA, 30655-8211
person
Provider Profile Details
NPI Number
1023015146
Provider Name
Mark William Shaffer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
513B Great Oaks Dr, Monroe, GA, 30655-8211
Phone Number
770-267-9391
Fax Number
770-207-7196
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00401497B 05 GA
00401497C 05 GA
institution
Provider Business Practice Location Address Details
Address
513B Great Oaks Dr
City
State
Zip
30655-8211
Phone Number
770-267-9391
Fax Number
770-207-7196
person
Provider Business Mailing Address Details
Address
513B Great Oaks Dr
City
State
Zip
30655-8211
Phone Number
770-267-9391
Fax Number
770-207-7196
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD000585 (Georgia)
Definition
Definition to come...
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