Provider Demographics
NPI:1275786790
Name:SHAPIRA, NATHAN ANDREW (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ANDREW
Last Name:SHAPIRA
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:4015 S COBB DR SE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6303
Mailing Address - Country:US
Mailing Address - Phone:770-333-0093
Mailing Address - Fax:770-432-2643
Practice Address - Street 1:4015 S COBB DR SE
Practice Address - Street 2:SUITE 245
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6303
Practice Address - Country:US
Practice Address - Phone:770-333-0093
Practice Address - Fax:770-432-2643
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2011-10-21
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Provider Licenses
StateLicense IDTaxonomies
GA583292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry