Individual
DANIEL J. SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3291
(706) 721-1459
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
053030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077438943A
—
GA
05
—
G53030
—
SC
Enumeration date
08/31/2006
Last updated
04/01/2011
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