NPI 1023326329

Jared R Shafer, PAC

Practitioner Physician Assistant Newnan, GA

Practice location

Address: 1755 Highway 34 E Suite 2200, Newnan, GA 30265-5631
Phone: (770) 502-2175
Fax: (770) 254-7837
Mailing address: 1755 Highway 34 E Suite 2200, Newnan, GA 30265-3190

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5930 (GA)

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Registry record

NPI: 1023326329
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2010
Record last updated: 30 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.