Individual
MICHAEL SHAWN MCMORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5830 BOND ST, SUITE 350, CUMMING, GA 30040-0307
(404) 520-3223
Mailing address
5830 BOND ST, SUITE 350, CUMMING, GA 30040-0307
(404) 520-3223
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14947
GA
1223P0221X
Pediatric Dentistry
3235
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154921608
—
AR
Enumeration date
08/24/2006
Last updated
03/30/2016
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