Philip, Shibu

Philip, Shibu is an individual health care provider with primary practice located at 1267 Highway 54 W Ste 2200 , Fayetteville GA 30214-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Philip, Shibu can be contacted via phone (770) 716-0051.

Contact Information

Primary practice address
1267 Highway 54 W Ste 2200 Fayetteville GA 30214-2110
Phone: (770) 716-0051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101279895 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2012-02030 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 98806 Georgia

Profile Details

NPI number 1356430607
LBN Legal business name Philip, Shibu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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