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William R. Shockley, Od
Durable Medical Equipment & Medical Supplies in Newnan, Georgia
NPI 1669644522

William R. Shockley, Od is a Durable Medical Equipment & Medical Supplies based in Newnan, GA. William R. Shockley, Od practices in Newnan, GA. The NPI Number for William R. Shockley, Od is 1669644522 and holds a License No. 0786430001 (Georgia).

The current practice location address for William R. Shockley, Od is 47 Jefferson St, Newnan, GA and can be reached out via phone at 770-254-0200 and via fax at 770-254-1281.

Location: 47 Jefferson St, Newnan, GA, 30263-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669644522
Provider Name
William R. Shockley, Od
Credential
Provider Entity Type
Organization
Address
47 Jefferson St, Newnan, GA, 30263-1948
Phone Number
770-254-0200
Fax Number
770-254-1281
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000443484B 05 GA
institution
Provider Business Practice Location Address Details
Address
47 Jefferson St
City
Newnan
State
Georgia
Zip
30263-1948
Phone Number
770-254-0200
Fax Number
770-254-1281
person
Provider Business Mailing Address Details
Address
47 Jefferson St
City
Newnan
State
Georgia
Zip
30263-1948
Phone Number
770-254-0200
Fax Number
770-254-1281
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0786430001 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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