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Shelter Dean

NPI 1023395738 · on the registry since 2011 · sole proprietor

Practice

Address
3130 Mercer University Dr
Macon, GA 31204
Phone
(478) 978-4194

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Male
Record last updated
2011-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia