William R. Shockley, Od in Newnan - Durable Medical Equipment & Medical Supplies
William R. Shockley, Od - NPI 1669644522
William R. Shockley, Od is a Durable Medical Equipment & Medical Supplies in Newnan, Georgia. William R. Shockley, Od practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for William R. Shockley, Od is 1669644522. The last update date is 2008-07-16.
William R. Shockley, Od's current location address is 47 Jefferson St, Newnan, Georgia. You can contact this provider via phone number 7702540200 and fax number 7702541281. The mailing address for William R. Shockley, Od is 47 Jefferson St, Newnan, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William R. Shockley, Od |
|---|---|
| Address | 47 Jefferson St, Newnan, Georgia |
| Phone Number | 7702540200 |
| Fax Number | 7702541281 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPTO |
|---|---|
| Authorized Official Name | Shockley William |
| Credentials | OD |
| Telephone Number | 7702540200 |
NPI Number Detail
| NPI Number | 1669644522 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 47 Jefferson St |
|---|---|
| City | Newnan |
| State | Georgia (GA) |
| Post Code | 302631948 |
| Phone Number | 7702540200 |
| Fax Number | 7702541281 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 786430001 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000443484B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William R. Shockley, Od by the Centers for Medicare & Medicaid Services?
The William R. Shockley, Od has been issued the NPI (National Provider Identifier) 1669644522 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where William R. Shockley, Od is physically located?
The William R. Shockley, Od is situated at the following address: 47 Jefferson St, Newnan, GA 302631948.
What is William R. Shockley, Od's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William R. Shockley, Od's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669644522 to William R. Shockley, Od?
The Centers for Medicare & Medicaid Services originally issued the 1669644522 to William R. Shockley, Od on 2008-03-31.
When was the William R. Shockley, Od's information last updated?
The William R. Shockley, Od's information was last updated on 2008-07-16.