Individual provider · Type 1 NPI
Mark William Shaffer, DPM
Foot & Ankle Surgery Podiatrist · Monroe, GA
NPI number
1023015146
Active
Practice location
513B Great Oaks Dr
Monroe, GA 30655-8211
Fax (770) 207-7196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD000585 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1023015146
Mark William Shaffer, DPM's National Provider Identifier is 1023015146, issued on Jul 5, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Monroe, GA. The record was last updated on Sep 20, 2010.