Individual
DR. CHARLOTTE B. SHAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD NE, SUITE B 420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Mailing address
5901 PEACHTREE DUNWOODY RD NE, SUITE B 420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474215132A
—
GA
05
—
474215132C
—
GA
05
—
474215132F
—
GA
Enumeration date
07/12/2005
Last updated
04/13/2011
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