# ALICE M. SHIN, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437332657
- **Authorized official:** JOAN LESKOVEN (OFFICE MANAGER)
- **Authorized official phone:** (770) 427-0285

## Contact information

- **Practice address:** 574 CHURCH ST NE, MARIETTA, GA 30060-1358
- **Practice address phone:** (770) 427-0285
- **Practice address fax:** (678) 564-1033
- **Mailing address:** 574 CHURCH ST NE, MARIETTA, GA 30060-1358
- **Mailing address phone:** (770) 427-0285
- **Mailing address fax:** (678) 564-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 050268 | GA | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 12/11/2007