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Michael Shane Exum

Nurse Anesthetist, Certified Registered in Valdosta, GA. Individual provider (NPI-1).

NPI number1124564950
StatusActive
Last updated in NPPESJan 18, 2017

Details

NPI
1124564950
Entity type
Individual (NPI-1)
Name
Michael Shane Exum
Sex
Male
Sole proprietor
No
Enumeration date
Jan 18, 2017
Last updated
Jan 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredRN210620GAYes

Practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Phone 229-244-6852

Mailing address

2501 N Patterson St
Valdosta, GA 31602-1735

Phone 229-244-6852

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