Mcgaffigan, Sandy Shaw

Mcgaffigan, Sandy Shaw is an individual health care provider with primary practice located at 4460 Austell Rd , Austell GA 30106-1844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mcgaffigan, Sandy Shaw can be contacted via phone (770) 941-4716.

Contact Information

Primary practice address
4460 Austell Rd Austell GA 30106-1844
Fax: (770) 941-3047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 040959 Georgia

Profile Details

NPI number 1164460614
LBN Legal business name Mcgaffigan, Sandy Shaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 3rd, 2010 - about 14 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 1164460614 NPPES
Georgia Other 13BDFDL MEDICARE ID TYPE UNSPEC
Georgia MEDICAID 000704888P MEDICARE ID TYPE UNSPEC
Georgia Other P00380908 MEDICARE ID TYPE UNSPEC

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