Individual
MARISSA SHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-1015
(404) 778-2400
Mailing address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-1015
(404) 778-2400
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
78171
GA
207KA0200X
Allergy Physician
71871
GA
Other
Enumeration date
05/13/2009
Last updated
08/02/2014
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