Individual
SAMUEL ELLIOT SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
665 DULUTH HWY, 401, LAWRENCEVILLE, GA 30046-3328
(678) 312-0450
Mailing address
655 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046-7672
(678) 312-0450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83247
GA
Other
Enumeration date
03/31/2016
Last updated
07/05/2023
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