Provider Demographics
NPI:1114910718
Name:SHUMANS, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:SHUMANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:38 S TALLAHASSEE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-6261
Mailing Address - Country:US
Mailing Address - Phone:912-375-9424
Mailing Address - Fax:912-375-9426
Practice Address - Street 1:38 S TALLAHASSEE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-6261
Practice Address - Country:US
Practice Address - Phone:912-375-9424
Practice Address - Fax:912-374-9426
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2010-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA034242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E73648Medicare UPIN
GA08BDCPVMedicare ID - Type Unspecified