Provider Demographics
NPI:1124007695
Name:SHULER, SARA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:C
Last Name:SHULER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2665 N DECATUR RD
Mailing Address - Street 2:STE 450
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6149
Mailing Address - Country:US
Mailing Address - Phone:404-501-7555
Mailing Address - Fax:404-501-7550
Practice Address - Street 1:2665 N DECATUR RD
Practice Address - Street 2:STE 450
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6149
Practice Address - Country:US
Practice Address - Phone:404-501-7555
Practice Address - Fax:404-501-7550
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047843174400000X, 2084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA936220717Medicaid
GAH83107Medicare UPIN
GA511I130026Medicare PIN