Individual
HANNAH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1731
(404) 778-5770
Mailing address
2170 CAVALRY BLVD, JACKSONVILLE, FL 32246-1407
(904) 254-3066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13101
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/16/2023
Last updated
06/16/2025
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