Provider Demographics
NPI:1184829012
Name:CAROLYN H. SIGMAN, MD., PC
Entity Type:Organization
Organization Name:CAROLYN H. SIGMAN, MD., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:SIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-410-4612
Mailing Address - Street 1:10745 WESTSIDE WAY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7639
Mailing Address - Country:US
Mailing Address - Phone:770-410-4612
Mailing Address - Fax:
Practice Address - Street 1:10745 WESTSIDE WAY
Practice Address - Street 2:SUITE 125
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7639
Practice Address - Country:US
Practice Address - Phone:770-410-4612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4428Medicare ID - Type Unspecified