Sang Ha Shin, MD | |
7990 Wells St Ste 100, Senoia, GA 30276-2267 | |
(470) 947-6010 | |
Not Available |
Full Name | Sang Ha Shin |
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Gender | Male |
Speciality | Internal Medicine |
Location | 7990 Wells St Ste 100, Senoia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265069769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 95937 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Entity Name | Piedmont Medical Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
Mailing Address | Practice Location Address |
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Sang Ha Shin, MD 7990 Wells St Ste 100, Senoia, GA 30276-2267 Ph: (470) 947-6010 | Sang Ha Shin, MD 7990 Wells St Ste 100, Senoia, GA 30276-2267 Ph: (470) 947-6010 |
Taylor Nicole Gonzalez, NP Internal Medicine Medicare: Medicare Enrolled Practice Location: 7990 Wells St Ste 100, Senoia, GA 30276 Phone: 470-947-6010 | |
Dr. Christina R. Macaluso, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 42 Main Street, Suite 2a, Senoia, GA 30276 Phone: 770-400-9722 Fax: 678-723-4309 |