Individual
DR. PHILIP SHRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 PHILIP BLVD, LAWRENCEVILLE, GA 30045-8733
(770) 995-3000
(770) 995-1427
Mailing address
PO BOX 116470, ATLANTA, GA 30368-0001
(770) 682-2080
(678) 579-9398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
046327
GA
2085R0001X
Radiation Oncology Physician
Primary
46327
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000809729D
—
GA
05
—
00809729A
—
GA
Enumeration date
12/01/2005
Last updated
10/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us