Individual
SHAHRIAR SEDGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 THIRD STREET, STE 204, MACON, GA 31201
(478) 477-3936
(478) 742-2040
Mailing address
610 THIRD STREET, STE 204, MACON, GA 31201
(478) 477-3936
(478) 742-2040
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
037678
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00604381A
—
GA
01
—
P00077251
MEDICARE RAILROAD
GA
Enumeration date
12/07/2005
Last updated
05/02/2018
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