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Individual

STEVEN LEWIS SHORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 LAKE HEARN DR NE STE 275, ATLANTA, GA 30319-1411
(470) 993-6287
(470) 961-7300
Mailing address
1200 LAKE HEARN DR, STE 275, ATLANTA, GA 30319
(470) 993-6287
(470) 961-7300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
015611
GA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
015611
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000147804B
GA
Enumeration date
07/05/2006
Last updated
04/08/2026
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