Individual
DR. GEORGE DAVID SHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
901 ABERNATHY RD, SUITE 100, SANDY SPRINGS, GA 30328-2562
(404) 252-1702
(404) 303-8843
Mailing address
901 ABERNATHY RD, SUITE 100, SANDY SPRINGS, GA 30328-2562
(404) 252-1702
(404) 303-8843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 000917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410348887A
—
GA
05
—
823239700A
—
GA
Enumeration date
03/08/2006
Last updated
07/21/2022
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