Individual
SHARON BINGHAM-SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5886 WENDY BAGWELL PKWY STE 201, HIRAM, GA 30141-7811
(678) 384-1787
(678) 384-1459
Mailing address
5886 WENDY BAGWELL PKWY STE 201, HIRAM, GA 30141-7811
(678) 384-1787
(678) 384-1459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000932599D
—
GA
05
—
100293
—
GA
Enumeration date
02/17/2006
Last updated
11/14/2018
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