Organization
DOUGLAS MEDICAL GROUP
Active
Other names
Shroff and Desai, M. D., P. C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIRISH I SHROFF MD (PRESIDENT)
(770) 949-0555
Entity
Organization
Contact information
Practice address
6025 PROFESSIONAL PKWY, SUITE 200, DOUGLASVILLE, GA 30134-5609
(770) 949-0555
(770) 949-4424
Mailing address
6025 PROFESSIONAL PKWY, SUITE 200, DOUGLASVILLE, GA 30134-5609
(770) 949-0555
(770) 949-4424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019103
GA
174400000X
Specialist
027530
GA
174400000X
Specialist
038955
GA
174400000X
Specialist
RN070145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305302B
—
GA
Enumeration date
03/23/2006
Last updated
08/22/2020
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