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
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-5083
- Phone
- (478) 825-8954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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