Provider Demographics
NPI:1376677930
Name:SHEFFIELD, LOUISE FARMER (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:FARMER
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10610 ROXBURGH LN
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3707
Mailing Address - Country:US
Mailing Address - Phone:770-777-9347
Mailing Address - Fax:
Practice Address - Street 1:6825 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE1100
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1228
Practice Address - Country:US
Practice Address - Phone:404-855-3300
Practice Address - Fax:404-855-4331
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0507732083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH61088Medicare UPIN
GA84BBBFZMedicare ID - Type Unspecified