Individual
DR. MARY SUZANNE SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
699A PIEDMONT AVE., NE, ATLANTA, GA 30308
(404) 892-6465
(404) 897-1697
Mailing address
699A PIEDMONT AVE., NE, ATLANTA, GA 30308
(404) 892-6465
(404) 897-1697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33452
MEDICAL LICENSE
GA
Enumeration date
09/28/2006
Last updated
03/07/2023
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