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Individual

JOEL S SHAVIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2383 PATE ST, SNELLVILLE, GA 30078
(770) 972-4845
(770) 972-0358
Mailing address
2383 PATE ST, SNELLVILLE, GA 30078
(770) 972-4845
(770) 972-0358

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
013240
GA

Other

Enumeration date
06/17/2006
Last updated
07/08/2007
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