Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 70593 | GA |
N | 208D00000X | General Practice Physician | 54838 | TN |
N | 208D00000X | General Practice Physician | 70593 | GA |
NPI | 1023376399 |
---|---|
Provider Name | Shari Stokes |
First Address | Atlanta, GA 30322-1059 |
Second Address | Atlanta, GA 30322-2347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2012 |
Last Update Date | 08/06/2020 |