Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE P MCTIGHE, D.O.
ActiveSHANE P MCTIGHE, D.O. is a Dermatology healthcare provider located in FORT BENNING, Georgia. NPI 1750763397 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT BENNING, GA
Registration Details
- NPI Number
- 1750763397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2015 (11.162519922307 yrs)
- Last Updated
- Aug 5, 2022
- License
-
Q9194 (TX)
Practice Information
- Address
-
6600 VAN AALST BLVDFORT BENNING, GA, 319052102Browse GA providers · Browse ZIP 31905
- Phone
- 7624083384
- Fax
- 7624088113
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.