Individual
SHAHINA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Mailing address
445 WINN WAY, PO BOX 1648, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
027297
GA
Other
Enumeration date
05/08/2006
Last updated
11/18/2015
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