Individual
SAVITHA SHAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
735 N MAIN ST, 1100, ALPHARETTA, GA 30009-2405
(678) 827-9157
(470) 299-6262
Mailing address
11585 JONES BRIDGE RD, 420-215, JOHNS CREEK, GA 30022-8129
(678) 827-9157
(470) 299-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046324
GA
208D00000X
General Practice Physician
046324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000836437C
—
GA
Enumeration date
05/23/2006
Last updated
07/19/2016
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