Individual
MR. MATTHEW DORSEY SHUGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
3548 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4009
(404) 401-2587
Mailing address
2344 GLYNN DR SE, ATLANTA, GA 30316-3452
(313) 815-5213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APCOO8345
GA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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