Organization
MILTON MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVITHA SHAMA M.D. (OWNER)
(678) 827-9157
Entity
Organization
Contact information
Practice address
735 N MAIN ST, 1100, ALPHARETTA, GA 30009-2405
(678) 827-9157
(470) 299-6262
Mailing address
11585 JONES BRIDGE RD, 420-215, JOHNS CREEK, GA 30022-8129
(678) 827-9157
(470) 299-6262
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
046324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173272A
—
GA
Enumeration date
09/29/2015
Last updated
07/19/2016
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