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Contact Information

JOHN E SHANER, MD
1692 GLYNCO PARKWAY
BRUNSWICK, GA31525
 Phone: 912-265-4735
 Fax: 912-265-6100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN E SHANER · (Male)

NPI Number 1285624411
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2005
Last updated 12/31/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35048658-S
  • OH Medicaid 0535906
Hospital affiliation(s)
  • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS - (Acute Care)
    2415 PARKWOOD DRIVE
    BRUNSWICK, GA 31520
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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