Prof Rudy M Shirley, is a
Otolaryngology physician based in Dalton, Georgia. Prof Rudy M Shirley is licensed to practice in Georgia (license number 16283) and his current practice location is 1436 Chattanooga Ave, Dalton, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 226-2142.
NPI number for Prof Rudy M Shirley is 1922059070 and his current mailing address is 1436 Chattanooga Ave, Dalton, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922059070.
Physician's Profile
| Full Name | Prof Rudy M Shirley |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 1436 Chattanooga Ave, Dalton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922059070
- Provider Enumeration Date: 05/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Prof Rudy M Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922059070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 16283 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Rudy M Shirley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Prof Rudy M Shirley,
1436 Chattanooga Ave,
Dalton, GA 30720-2637
Ph: (706) 226-2142 | Prof Rudy M Shirley,
1436 Chattanooga Ave,
Dalton, GA 30720-2637
Ph: (706) 226-2142 |
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