Individual
SHANNON SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11975 MORRIS RD, SUITE 200, ALPHARETTA, GA 30005-4419
(770) 751-3600
(770) 751-3615
Mailing address
6285 BARFIELD RD NE, SUITE 250, ATLANTA, GA 30328-4335
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
060490
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
240900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983986738A
—
GA
05
—
983986738B
—
GA
05
—
983986738C
—
GA
05
—
983986738D
—
GA
Enumeration date
08/30/2006
Last updated
07/08/2009
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