person
Edward Joel Shanik, MD
Family Medicine Physician in Cumming, Georgia
NPI 1417916859

Edward Joel Shanik is a Family Medicine Physician based in Cumming, GA. Edward Joel Shanik practices in Cumming, GA and has the professional credentials of MD. The NPI Number for Edward Joel Shanik is 1417916859 and holds a License No. 020484 (Georgia).

The current practice location address for Edward Joel Shanik is 260 Elm St, Cumming, GA and can be reached out via phone at 770-887-1668 and via fax at 770-781-9937.

Location: 260 Elm St, Cumming, GA, 30040-2467
person
Provider Profile Details
NPI Number
1417916859
Provider Name
Edward Joel Shanik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
260 Elm St, Cumming, GA, 30040-2467
Phone Number
770-887-1668
Fax Number
770-781-9937
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000193179K 05 GA
4048222 05 TN
00193179J 05 GA
01160889 01 GA AMERIGROUP
52023332 01 GA BCBS GA
000193179L 05 GA
000193179M 05 GA
4186949 01 TN BCBS TN
institution
Provider Business Practice Location Address Details
Address
260 Elm St
City
State
Zip
30040-2467
Phone Number
770-887-1668
Fax Number
770-781-9937
person
Provider Business Mailing Address Details
Address
260 Elm St
City
State
Zip
30040-2467
Phone Number
770-887-1668
Fax Number
770-781-9937
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
020484 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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