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Individual

MR. JOSHUA D SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342-5000
(404) 847-9999
(404) 531-8466
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342-5000
(404) 847-9999
(404) 531-8466

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005264
GA
363A00000X
Physician Assistant
PA9102450
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494190726A
GA
05
494190726B
GA
Enumeration date
05/18/2006
Last updated
05/09/2008
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