George D Shoup, MD

NPI #1134387251 in Fort Valley, Georgia

Provider Information

NPI Number
1134387251
Entity Type
Individual
Name
George D Shoup, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
May 27, 2008
Last Updated
May 27, 2008

Practice Location

Address
503 BLUEBIRD BLVD
Address 2
POST OFFICE BOX 1466
State
Georgia
ZIP Code
31030-5083
Phone
(478) 825-8954

Specialties & Taxonomy Codes

Specialty
Family Medicine

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