Individual
DR. TOM T SHIMABUKURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MBA
Contact information
Practice address
1600 CLIFTON RD NE, MS E-52, ATLANTA, GA 30329-4018
(404) 639-8542
(404) 639-8614
Mailing address
704 BRIARHILL LN NE, ATLANTA, GA 30324-5425
(404) 639-8542
(404) 639-8615
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
226907-1
NY
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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