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1063055473
JOHN SHIRES
COLUMBIA, SC
NPI
1063055473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9982)
Enumeration Date
2019-10-18
Last Update Date
2022-11-17
Business Address
JOHN SHIRES
109 WHISPERING PINES CIR
COLUMBIA, SC 29205-4944
Phone number: 770-891-2770
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Mailing Address
JOHN SHIRES
109 WHISPERING PINES CIR
COLUMBIA, SC 29205-4944
Phone number: 770-891-2770
Copy
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