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Contact Information

JAE Y SHIN, DPM
506 OSIGIAN BLVD
STE 3
WARNER ROBINS, GA31088
 Phone: 478-988-4676
 Fax: 478-987-7907
 Website: http://no1footdoc.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JAE Y SHIN · (Male)

NPI Number 1396088803
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/03/2013
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # POD001311
  • NJ License # 25MD00365800
  • NY License # N00721001
  • GA Other POD001311 PODIATRIC LICENSE
  • NJ Other 25MD00365800 PODIATRIC LICENSE
  • NY Other N007210-01 PODIATRIC LICENSE
Hospital affiliation(s) Not Available
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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