Individual
DR. JACK SHEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.S.
Contact information
Practice address
2500 HOSPITAL BLVD STE 440, ROSWELL, GA 30076-4919
(770) 663-4649
Mailing address
2500 HOSPITAL BLVD STE 440, ROSWELL, GA 30076-4919
(770) 663-4649
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.138941
OH
2084N0400X
Neurology Physician
Primary
92491
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
08/17/2022
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