Individual
EZRA SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(317) 508-1217
Mailing address
669 KIRKWOOD AVE SE, ATLANTA, GA 30316-1119
(317) 508-1217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
96589
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
06/24/2024
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