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Search › Georgia › Family Medicine Physician

Shad Stormant

NPI 1295084374 · on the registry since 2012

Practice

Address
1302 Plant Ave
Waycross, GA 31501
Phone
(912) 490-5080
Fax
(912) 490-5081
Organisation at this address
Ensign Family Medicine Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-28

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