| Markham Sheppard, Llc | |
|
6624 Jimmy Carter Blvd Ste A Peachtree Corners GA 30071-1727 | |
| (404) 900-5450 | |
| (404) 900-5450 |
| Full Name | Markham Sheppard, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, Georgia |
| Authorized Official Name and Position | Angela V. Samuels (PRESIDENT) |
| Authorized Official Contact | 4049005450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Markham Sheppard, Llc 2483 Heritage Vlg Suite # 16 - 335 Snellville GA 30078 Ph: (404) 900-5450 | Markham Sheppard, Llc 6624 Jimmy Carter Blvd Ste A Peachtree Corners GA 30071-1727 Ph: (404) 900-5450 |
| NPI Number | 1144794488 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 01/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144794488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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