Shida, George David
Shida, George David is an individual health care provider with primary practice located at 901 Abernathy Rd Suite 100, Sandy Springs GA 30328-2562. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shida, George David can be contacted via phone (404) 252-1702.Contact Information
Primary practice address
901 Abernathy Rd Suite 100
Sandy Springs GA 30328-2562
Phone: (404) 252-1702
Fax: (404) 303-8843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 000917 | Georgia |
Profile Details
| NPI number | 1508834516 |
|---|---|
| LBN Legal business name | Shida, George David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508834516 | NPPES |
| Georgia | MEDICAID | 823239700A | |
| Georgia | MEDICAID | 410348887A |
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