Individual provider · Type 1 NPI

Brent Michael Shafer, PA

Surgical Physician Assistant · Augusta, GA

NPI number 1740434976 Active

Practice location

1120 15th St
Augusta, GA 30912-2602

Call (706) 721-8623 Map

Fax (706) 721-1459

Mailing address

1120 15th St Ste BI1056
Augusta, GA 30912-0004

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5388 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1740434976

Brent Michael Shafer, PA's National Provider Identifier is 1740434976, issued on Nov 14, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Dec 21, 2018.