BRENT MICHAEL SHAFER

AUGUSTA, GA
NPI1740434976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  5388)
Enumeration Date2008-11-14
Last Update Date2018-12-21
Business Address
BRENT MICHAEL SHAFER PA
1120 15TH ST
AUGUSTA, GA 30912-2602
Phone number: 706-721-8623
Mailing Address
BRENT MICHAEL SHAFER PA
1120 15TH ST STE BI1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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