SearchGeorgia332B00000X

Philip Shadle

NPI 1861858730 · on the registry since 2016 · sole proprietor

Practice

Address
413 Spring Ridge Dr
Dawsonville, GA 30534
Phone
(678) 751-5340

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Male
Record last updated
2016-01-08

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