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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RUDY M SHIRLEY
1436 CHATTANOOGA AVE
DALTON, GA30720-2637
 Phone: 706-226-2142
 Fax: 706-226-1771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RUDY M SHIRLEY · (Male)

NPI Number 1922059070
Credentials
Entity Individual
Enumeration date 05/13/2006
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
GA License # 16283
Medicare (Unspecified) 25478874B
Medicare UPIN D41105
Hospital affiliation(s) n/a
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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