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Individual

STEPHEN SHUGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
3230 HOPEWELL CHASE DR, ALPHARETTA, GA 30004-2539
(678) 865-2450

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
363A00000X
Physician Assistant
11717
GA

Other

Enumeration date
09/07/2018
Last updated
07/25/2023
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