Individual
SANDY SHAW MCGAFFIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4460 AUSTELL RD, AUSTELL, GA 30106-1844
(770) 941-4716
(770) 941-3047
Mailing address
3875 AUSTELL RD, SUITE 204, AUSTELL, GA 30106-1103
(770) 819-1717
(770) 819-1140
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
040959
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000704888P
—
GA
01
—
13BDFDL
MEDICARE ID TYPE UNSPEC
GA
01
—
P00380908
RAILROAD MEDICARE
GA
Enumeration date
06/04/2006
Last updated
12/03/2010
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