Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 032655 | GA |
N | 2084N0400X | Neurologist | 032655 | GA |
NPI | 1770547366 |
---|---|
Provider Name | John Mckinley Shoffner |
First Address | Atlanta, GA 30338-7404 |
Second Address | Atlanta, GA 30338-7404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 08/07/2007 |