Issam Shaker
Pediatrician Pediatric Surgery
840 Pine St Ste 510
Macon
, Georgia 31201-7530
Issam Shaker
Pediatrician Pediatric Surgery
840 Pine St Ste 510
Macon
, Georgia 31201-7530
(478) 633-8390
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About
Features
Specialties
- Pediatrician
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Issam Shaker
- 840 Pine St Ste 510
- Macon, GA
- Zip : 31201-7530
- Fax : (478) 633-8390
- Phone : (478) 633-8383
Second Address
- Issam Shaker
- 840 Pine St Ste 510
- Macon, GA
- Zip : 31201-7530
- Fax : (478) 633-8390
- Phone : (478) 633-8383
Reviews
FAQs
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What type of doctor is Issam Shaker
In what state does Issam Shaker practice in?
Where is Issam Shaker ’s practice located?
What is Issam Shaker ’s gender?
Is Issam Shaker a sole practitioner?
Is Issam Shaker accepting new patients?
What languages does Issam Shaker speak?
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Does Issam Shaker offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 017883 | GA |
| Y | 2086S0120X | Pediatric Surgery | 017883 | GA |
National Provider Identifier
| NPI | 1356317598 |
|---|---|
| Provider Name | Issam Shaker |
| First Address | Macon, GA 31201-7530 |
| Second Address | Macon, GA 31201-7530 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 09/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D30788 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.