Shade Raymond Preston IV, D.O.

NPI #1053431635 in Augusta, Georgia

Provider Information

NPI Number: 1053431635
Entity Type: Individual
Name: Shade Raymond Preston IV, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: D.O.
Enumeration Date: Mar 29, 2007
Last Updated: Jun 16, 2008

Practice Location

Address: 1350 WALTON WAY
City: Augusta
State: Georgia
ZIP Code: 30901-2612
Phone: (706) 737-9250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X

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