Individual
KEVIN JAMES SHEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(516) 945-3000
(704) 248-5537
Mailing address
PO BOX 945384, ATLANTA, GA 30394-5384
(516) 945-3000
(704) 248-5537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
035332
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
035332
GA
208VP0000X
Pain Medicine Physician
035332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035332
LICENSE
GA
01
—
23251
AMERICAN BOARD OF ANESTHESIOLOGY
GA
Enumeration date
09/12/2006
Last updated
11/19/2024
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