Individual
DR. EDMOND SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5461 BUFORD HWY NE, ATLANTA, GA 30340-1124
(770) 457-5556
(770) 457-7776
Mailing address
5461 BUFORD HWY NE, ATLANTA, GA 30340-1124
(770) 457-5556
(770) 457-7776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
076180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179826A
—
GA
Enumeration date
04/16/2013
Last updated
01/20/2017
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