Individual
PAK HO SAMUEL SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1218 W PACES FERRY RD NW STE 204, ATLANTA, GA 30327-2308
(404) 480-4888
Mailing address
2870 PEACHTREE RD NW STE 188, ATLANTA, GA 30305-2918
(443) 939-4050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66421
GA
208600000X
Surgery Physician
MT188919
PA
208600000X
Surgery Physician
RT1893
NH
Other
Enumeration date
01/18/2007
Last updated
07/21/2020
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