Individual
EDAN SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1336 HIGHWAY 54 W, BLDG 200, FAYETTEVILLE, GA 30214-4535
(770) 460-9777
(770) 460-0650
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
73486
GA
Other
Enumeration date
04/21/2009
Last updated
06/19/2015
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