Doctor Name: | ANDRE' L MCSHAN |
NPI Number: | 1184740649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 054869 |
Business Practice Address: | 1368 Southlake Professional Pl Morrow, GA - 30260 |
Business Phone Number: | 6157784066 |
Business Fax Number: | |
Mailing Address: | 5080 Spectrum Drive, Suite 1200 West Tower ADDISON |
State: | TX |
Postal Code: | 75001 |
Phone Number: | 8002323550 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 10/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 054869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |