Bath, Shaun S

Bath, Shaun S is an individual health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106-1121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bath, Shaun S can be contacted via phone (470) 732-4022.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106-1121
Phone: (470) 732-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 280428 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 076426 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 076426 Georgia

Profile Details

NPI number 1154688380
LBN Legal business name Bath, Shaun S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154688380 NPPES
New York MEDICAID 04267130

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