Individual
DR. MICHAEL SHAY SABOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11180 STATE BRIDGE RD, ALPHARETTA, GA 30022-7482
(770) 754-0788
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059583
GA
207Q00000X
Family Medicine Physician
24919
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249190
—
SC
Enumeration date
05/02/2006
Last updated
01/07/2022
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