Individual
DR. SHEILA SHEFTALL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 EASTBROOK BEND, STE 109, PEACHTREE CITY, GA 30269
(678) 364-0888
(678) 364-9958
Mailing address
1930 ENON PINES DR, ATLANTA, GA 30331
(404) 277-9466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
032528A
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005090445
—
GA
Enumeration date
11/21/2006
Last updated
07/08/2007
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