Individual
SANJAY SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 VILLAGE CENTER PKWY, SUITE 100, STOCKBRIDGE, GA 30281-9044
(678) 289-0508
(770) 692-0301
Mailing address
250 VILLAGE CENTER PKWY, SUITE 100, STOCKBRIDGE, GA 30281-9044
(678) 289-0508
(770) 692-0301
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
056646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783267492A
—
GA
Enumeration date
02/08/2006
Last updated
02/27/2015
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