| Sang Ha Shin, MD | |
|
7990 Wells St Ste 100, Senoia, GA 30276-2267 | |
| (470) 947-6010 | |
| Not Available |
| Full Name | Sang Ha Shin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 7990 Wells St Ste 100, Senoia, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265069769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 95937 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Hospital | Atlanta, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 327 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Sang Ha Shin, MD 7990 Wells St Ste 100, Senoia, GA 30276-2267 Ph: (470) 947-6010 | Sang Ha Shin, MD 7990 Wells St Ste 100, Senoia, GA 30276-2267 Ph: (470) 947-6010 |
Taylor Nicole Gonzalez, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7990 Wells St Ste 100, Senoia, GA 30276 Phone: 470-947-6010 | |
Dr. Christina R. Macaluso, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 42 Main Street, Suite 2a, Senoia, GA 30276 Phone: 770-400-9722 Fax: 678-723-4309 |