Dr. Shane Edward Downey, DMD
Dentist, General Practice in Chatsworth, GA. Individual provider (NPI-1).
NPI number1477573145
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477573145
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Edward Downey
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 012190 | GA | Yes |
Practice location
221 N 4th AveChatsworth, GA 30705-2420
Phone 706-695-8318 · Fax 706-695-7857
Mailing address
Po Box 1096Chatsworth, GA 30705-1096
Phone 706-695-8318 · Fax 706-695-7857
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