Shirley Boone-sanford, CP

CLINICAL PSYCHOLOGIST

2078 Teron Trace

Suite 326

Dacula, GA 300191604

**NPI:** 1609837616

**Med School:** SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE

**Experience:** 29 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (3)

2078 Teron Trace, Suite 326
Dacula, GA 300191604

Phone:

**Group ID:** | **Group Size:** members

195 W Pike St, Suite 207
Lawrenceville, GA 300464966

Phone: (678) 205-0838

**Group ID:** | **Group Size:** members

THE SOUTHEAST PERMANENTE MEDICAL GROUP

3495 Piedmont Rd Ne, Bldg 9
Atlanta, GA 303051729

Phone: (404) 364-7206

**Group ID:** 6204829013 | **Group Size:** 658 members

No hospital affiliations reported.

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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