Provider Demographics
NPI:1184762585
Name:SIGMAN, CAROLYN H (MD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:H
Last Name:SIGMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:GAIL
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3925 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-5256
Mailing Address - Country:US
Mailing Address - Phone:404-231-4231
Mailing Address - Fax:404-816-1030
Practice Address - Street 1:3925 PEACHTREE RD NE
Practice Address - Street 2:SUITE 300
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-5256
Practice Address - Country:US
Practice Address - Phone:404-231-4231
Practice Address - Fax:404-816-1030
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037904207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG07115Medicare UPIN