Shirley A Boone-sanford


Address: 2078 Teron Trace, Suite 250, Dacula, GA 30019

Shirley A Boone-sanford (NPI# 1609837616, PAC ID# 7911955034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1609837616
PAC ID by PECOS 7911955034
Professional Enrollment ID I20050106000655
Full Name Shirley A Boone-sanford
Address 2078 Teron Trace
Suite 250
Dacula
GA 30019
Gender F
Credential CP
Graduation Year 1996
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2078 Teron Trace, Suite 250, Dacula, GA 30019
2078 Teron Trce, Suite 326, Dacula, GA 30019-1639

Organization Information

Office Location

Street Address 2078 TERON TRACE
SUITE 250
City DACULA
State GA
Zip 30019

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Anna L Richardson Nurse Practitioner Atlanta Allergy and Asthma, Pa 2089 Teron Trace, Suite 250, Dacula, GA 30019
Cheryl M Hughes Clinical Social Worker 3617 Braselton Hwy, Suite 104, Dacula, GA 30019
Bhairavi Dholakia Ophthalmology North Georgia Eye Clinic Inc 2089 Teron Trace, Suite 160, Dacula, GA 30019
Yadira Nmi Cardona Rohena Maxillofacial Surgery 2089 Teron Trace, Suite 215, Dacula, GA 30019
Lorraine Laura Laplace Nurse Practitioner Northeast Georgia Physicians Group Inc 3575 Braselton Hwy, Dacula, GA 30019-1027
Aishah Boodram Clinical Social Worker 3581 Braselton Hwy, Dacula, GA 30019-1027
Russell Glassman Chiropractic Hamilton Mill Family Chiropractic 3509 Braselton Hwy, Dacula, GA 30019-1027
Elvira Jasarevic Family Medicine Northeast Georgia Physicians Group Inc 3575 Braselton Hwy, Dacula, GA 30019-1027
Jay H Joseph Cardiovascular Disease (cardiology) Heart Center LLC 3575 Braselton Hwy, Dacula, GA 30019-1027
Kate A. Bass Clinical Social Worker Northeast Georgia Physicians Group Inc 3575 Braselton Hwy, Dacula, GA 30019-1027
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Competitor

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City DACULA
Zip Code 30019
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty DACULA + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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