Organization
PARAGON ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J SHEAHAN M.D. (PARTNER)
(770) 558-8501
Entity
Organization
Contact information
Practice address
1140 HAMMOND DR NE, BLDG E, SUITE 50, ATLANTA, GA 30328
(770) 558-8501
(770) 558-8512
Mailing address
1140 HAMMOND DR NE, BLDG. E, SUITE 40, ATLANTA, GA 30328-5338
(770) 558-8501
(770) 558-8512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G706886
MEDICARE
GA
Enumeration date
02/04/2010
Last updated
07/27/2018
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