1053431635 Shade Raymond Preston Iv, D.O.
Anesthesiology Physician
Active
Basic Information
- Full Name
- Shade Raymond Preston Iv, D.O.
- Gender
- Male
- Enumeration Date
- March 29, 2007
- Last Update
- June 16, 2008
Practice Location
- Address
- 1350 WALTON WAY
AUGUSTA, GA 309012612 - Phone
- (706) 737-9250
- Fax
- (706) 733-0697
Mailing Address
- Address
- 1824 WALTON WAY
AUGUSTA, GA 309043804 - Phone
- (706) 737-9250
- Fax
- (706) 733-0697
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Anesthesiology | 058811 | GA | Primary |
| Pain Medicine (Anesthesiology) Physician Pain Medicine | 207LP2900X | Anesthesiology | 058811 | GA | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G58811 | 05 | SC | N/A |
| P00424799 | 01 | GA | RAILROAD MEDICARE |
| 159750664A | 05 | GA | N/A |
Frequently Asked Questions
What is Shade Raymond Preston Iv, D.O.'s NPI number?
Shade Raymond Preston Iv, D.O.'s NPI number is 1053431635.
Which doctor has NPI number 1053431635?
The doctor with NPI number 1053431635 is Shade Raymond Preston Iv, D.O..
What is Shade Raymond Preston Iv, D.O.'s practice address?
Shade Raymond Preston Iv, D.O.'s practice address is 1350 WALTON WAY, AUGUSTA, GA, 309012612.
Which doctor practices at 1350 WALTON WAY, AUGUSTA, GA, 309012612?
Shade Raymond Preston Iv, D.O. practices at 1350 WALTON WAY, AUGUSTA, GA, 309012612.
What is Shade Raymond Preston Iv, D.O.'s mailing address?
Shade Raymond Preston Iv, D.O.'s mailing address is 1824 WALTON WAY, AUGUSTA, GA, 309043804.
What is Shade Raymond Preston Iv, D.O.'s phone number?
Shade Raymond Preston Iv, D.O.'s phone number is (706) 737-9250.
Who is (706) 737-9250?
(706) 737-9250 is the phone number for Shade Raymond Preston Iv, D.O..
What is Shade Raymond Preston Iv, D.O.'s specialty?
Shade Raymond Preston Iv, D.O.'s specialty is Anesthesiology Physician.
What type of doctor is Shade Raymond Preston Iv, D.O.?
Shade Raymond Preston Iv, D.O. is a Anesthesiology Physician.
Is Shade Raymond Preston Iv, D.O. a Anesthesiology?
Yes, Shade Raymond Preston Iv, D.O. is a Anesthesiology.
Is Shade Raymond Preston Iv, D.O. still practicing?
Yes, Shade Raymond Preston Iv, D.O. is currently practicing.
Is Shade Raymond Preston Iv, D.O. accepting new patients?
Shade Raymond Preston Iv, D.O. may be accepting new patients. Please call their office at (706) 737-9250 to inquire about availability.
Is NPI 1053431635 still active?
Yes, NPI 1053431635 is currently active.
Where does Shade Raymond Preston Iv, D.O. practice?
Shade Raymond Preston Iv, D.O. practices in AUGUSTA, GA.
Is Shade Raymond Preston Iv, D.O. a male or female doctor?
Shade Raymond Preston Iv, D.O. is a male doctor.