Shorter, George Wiley

Shorter, George Wiley is an individual health care provider with primary practice located at Vamc - Unit 9 - 116B 619 S. Marion Ave, Lake City FL 32025. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shorter, George Wiley can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address

Vamc - Unit 9 - 116B 619 S. Marion Ave Lake City FL 32025

Phone: (386) 755-3016

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	103TC0700X	1244	Alabama

Profile Details

NPI number	1295770535
LBN Legal business name	Shorter, George Wiley
Credentials	PH. D.
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 19th, 2006
Last updated	Jul 8th, 2007 - about 19 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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