Shores, David Gerald
Shores, David Gerald is an individual health care provider with primary practice located at 2406 Bellevue Rd , Dublin GA 31021-2842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Shores, David Gerald can be contacted via phone (478) 275-4740.Contact Information
Primary practice address
2406 Bellevue Rd
Dublin GA 31021-2842
Phone: (478) 275-4740
Fax: (478) 275-0533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34945 | Georgia |
Profile Details
| NPI number | 1134100803 |
|---|---|
| LBN Legal business name | Shores, David Gerald |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Mar 20th, 2008 - about 17 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 | 1134100803 | NPPES |
| Georgia | MEDICAID | 00767808B |
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