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1548255409
GUY M. SHOAF
GRENADA, MS
NPI
1548255409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MS 20458)
Additional Taxonomies
208800000X Urology
(Licence: DC MD33918)
Enumeration Date
2005-09-16
Last Update Date
2020-06-04
Business Address
Dr. GUY M. SHOAF M.D.
960 J K AVENT DRIVE 3 MAIN
GRENADA, MS 38901
Phone number: 662-227-7575
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Mailing Address
Dr. GUY M. SHOAF M.D.
2500 NORTH STATE STREET CBO - SUITE 4200
JACKSON, MS 39216-4500
Phone number: 601-496-9794
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