Jean Gustave Shoumou
Internist Infectious Disease
2801 Dekalb Medical Parkway
Lithonia
, Georgia 30058
Jean Gustave Shoumou
Internist Infectious Disease
2801 Dekalb Medical Parkway
Lithonia
, Georgia 30058
(404) 501-8492
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Jean Gustave Shoumou
- 2801 Dekalb Medical Pkwy Ste. 301
- Lithonia, GA
- Zip : 30058-4996
- Phone : (404) 501-8492
Second Address
- Jean Gustave Shoumou
- 2801 Dekalb Medical Parkway
- Lithonia, GA
- Zip : 30058
- Phone : (404) 501-8492
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 062772 | GA |
| N | 111NI0900X | Internist | 062772 | GA |
| N | 207RI0200X | Infectious Disease | 062772 | GA |
National Provider Identifier
| NPI | 1063619195 |
|---|---|
| Provider Name | Jean Gustave Shoumou |
| First Address | Lithonia, GA 30058-4996 |
| Second Address | Lithonia, GA 30058 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2007 |
| Last Update Date | 30/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003104725C | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.