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Shaw Fortuchang, M.D
NPI 1205952231 · on the registry since 2007 · sole proprietor
Practice
- Address
- 110 N Park Dr
Fayetteville, GA 30214 - Phone
- (770) 376-6726
- Fax
- (770) 376-6727
- Organisation at this address
- Brc Medhealth Llc
The Caregiving Company Llc
Atlanta Caregiving Company LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- Forensic Psychiatry
Child & Adolescent Psychiatry - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia