Individual
DR. ROY LUCIEN SHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 CLIFTON RD NE, MAILSTOP E-40, ATLANTA, GA 30329-4018
(404) 642-8897
Mailing address
1600 CLIFTON RD NE, MAILSTOP E-40, ATLANTA, GA 30329-4018
(404) 642-8897
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
50269
GA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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