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NPI Code Detail

MEDICARE: JEFF SHIOVITZ

MEDICARE:   JEFF  SHIOVITZ
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
1251E00000XHome Health Agency044-R-0095GA

General Provider Information

NPI Number : 1992258313
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF SHIOVITZ
Provider Business Mailing Address
First Line : 4511 CHAMBLEE DUNWOODY ROAD
Second Line : SUITE A4
City : ATLANTA
State : GA
Zip : 30338
Country : US
Telephone Number : 770-392-8952
Fax Number : 678-691-5341
Provider Business Practice Location Address
First Line : 4511 CHAMBLEE DUNWOODY RD
Second Line : SUITE A4
City : ATLANTA
State : GA
Zip : 30338-6243
Country : US
Telephone Number : 770-392-8952
Fax Number : 678-691-5341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2016
Last Update Date : 08/02/2016

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Directions to “ JEFF SHIOVITZ ” Practice Location

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