Individual
JANE C SHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1605
(404) 785-2162
Mailing address
PO BOX 1205, INDIANAPOLIS, IN 46206-1205
(866) 364-5679
(866) 388-2925
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
054280
GA
2085R0202X
Diagnostic Radiology Physician
054280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634160561
—
GA
Enumeration date
02/13/2006
Last updated
01/13/2017
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