Provider Demographics
NPI:1134138241
Name:SIGMAN, STEVEN R (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:SIGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 PEACHTREE DUNWOODY ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-7274
Mailing Address - Country:US
Mailing Address - Phone:404-851-5400
Mailing Address - Fax:404-851-5401
Practice Address - Street 1:6115 PEACHTREE DUNWOODY ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-7274
Practice Address - Country:US
Practice Address - Phone:404-851-5400
Practice Address - Fax:404-851-5401
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA36612207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000658963J, MMedicaid
GA2021061949Medicare PIN
GAG01861Medicare UPIN