MEDICARE: MEG SHELDON

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1891383519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEG SHELDON

Provider Business Mailing Address
First Line	:	925 BERNE ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1805
Country	:	US
Telephone Number	:	404-536-3209
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 BERNE ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1805
Country	:	US
Telephone Number	:	404-536-3209
Fax Number	:

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

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	01/07/2021

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