Healthcare Provider Details

I. General information

NPI: 1003697079
Provider Name (Legal Business Name): SHARON L HSIEH MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CLIFTON RD NE
ATLANTA GA
30322-1004
US

IV. Provider business mailing address

743 SPRING ST NE STE 710
GAINESVILLE GA
30501-3715
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3234
  • Fax:
Mailing address:
  • Phone: 770-219-8730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number16530
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: