Individual
JANELLE A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
135 N PARK PL STE 101, STOCKBRIDGE, GA 30281-7237
(770) 892-0300
Mailing address
135 N PARK PL STE 101, STOCKBRIDGE, GA 30281-7237
(770) 892-0300
(470) 878-1495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
13014
GA
363AS0400X
Surgical Physician Assistant
C0007515
MD
363AS0400X
Surgical Physician Assistant
PA13014
GA
363AS0400X
Surgical Physician Assistant
PA60839895
WA
Other
Enumeration date
06/04/2018
Last updated
03/27/2026
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