Shaker, Issam
Shaker, Issam is an individual health care provider with primary practice located at 840 Pine St Ste 510 , Macon GA 31201-7530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Shaker, Issam can be contacted via phone (478) 633-8383.Contact Information
Primary practice address
840 Pine St Ste 510
Macon GA 31201-7530
Phone: (478) 633-8383
Fax: (478) 633-8390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 017883 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 017883 | Georgia |
Profile Details
| NPI number | 1356317598 |
|---|---|
| LBN Legal business name | Shaker, Issam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Sep 9th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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