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Individual

DR. BAHEEG L SHADEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3969 S COBB DR SE, SUITE 202, SMYRNA, GA 30080-6358
(770) 438-9191
(770) 438-9272
Mailing address
3969 S COBB DR SE, SUITE 202, SMYRNA, GA 30080-6358
(770) 438-9191
(770) 438-9272

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
024628
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00261665B
GA
01
020033757
RAILROAD MEDICARE
GA
Enumeration date
10/10/2006
Last updated
09/22/2011
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