Healthcare Provider Details

I. General information

NPI: 1689632093
Provider Name (Legal Business Name): RICHARD SHAFTER FIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 13TH ST SUITE 14
AUGUSTA GA
30901-2700
US

IV. Provider business mailing address

PO BOX 31665
CHARLOTTE NC
28231-1665
US

V. Phone/Fax

Practice location:
  • Phone: 706-828-0043
  • Fax: 706-828-0450
Mailing address:
  • Phone: 843-793-6980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number028541
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: