| Doctor Name: | SHANNON SUGARMAN |
| NPI Number: | 1639289002 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 060490 |
| Business Practice Address: | 11975 Morris Rd Suite 200 Alpharetta, GA - 300054419 |
| Business Phone Number: | 7707513600 |
| Business Fax Number: | 7707513615 |
| Mailing Address: | 6285 Barfield Rd Ne, Suite 250 ATLANTA |
| State: | GA |
| Postal Code: | 303284335 |
| Phone Number: | 4043031224 |
| Fax Number: | 4043031325 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 060490 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |