Shelley, Robert J
Shelley, Robert J is an individual health care provider with primary practice located at 4600 Waters Ave Suite 100, Savannah GA 31404-6702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shelley, Robert J can be contacted via phone (912) 355-2462.Contact Information
Primary practice address
4600 Waters Ave Suite 100
Savannah GA 31404-6702
Phone: (912) 355-2462
Fax: (912) 353-1836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 028650 | Georgia |
Profile Details
| NPI number | 1629062468 |
|---|---|
| LBN Legal business name | Shelley, Robert J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629062468 | NPPES |
| Georgia | Other | 028650 | STATE LICENSE |
| Georgia | MEDICAID | 000331361A | STATE LICENSE |
| Georgia | Other | G28650 | STATE LICENSE |
| Georgia | Other | 58-1102392 | STATE LICENSE |
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