Organization
MEDICO FAMILIAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAH INAYAT MD (OWNER)
(770) 409-7338
Entity
Organization
Contact information
Practice address
5345 JIMMY CARTER BLVD, SUITE I, NORCROSS, GA 30093-1524
(770) 409-7338
(770) 409-7339
Mailing address
5345 JIMMY CARTER BLVD, SUITE I, NORCROSS, GA 30093-1524
(770) 409-7338
(770) 409-7339
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
047908
GA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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