MEDICARE: DR. SCOTT J. SHULMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	33196	GA

General Provider Information

NPI Number	:	1669424073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT J. SHULMAN MD

Provider Business Mailing Address
First Line	:	6600 PEACHTREE DUNWOODY RD STE 325
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-6773
Country	:	US
Telephone Number	:	404-876-1906
Fax Number	:	404-256-8506

Provider Business Practice Location Address
First Line	:	1110 W PEACHTREE ST NW STE 1100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3609
Country	:	US
Telephone Number	:	404-892-2131
Fax Number	:	404-215-9222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	11/17/2020

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