Jay G Shake, MD Valid NPI

Individual provider · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Jackson, MS

NPI

1215967500

Type

Individual (Type 1)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Thoracic Surgery (Cardiothoracic Vascular Surgery))

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208G00000X

License number

23449 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-03

Last updated

2015-05-12