Individual
JEFF SHIOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4511 CHAMBLEE DUNWOODY RD, SUITE A4, ATLANTA, GA 30338-6243
(770) 392-8952
(678) 691-5341
Mailing address
4511 CHAMBLEE DUNWOODY ROAD, SUITE A4, ATLANTA, GA 30338
(770) 392-8952
(678) 691-5341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0095
GA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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