Organization
MAGNOLIA MEDICAL CLINIC, P.C.
Active
Other names
Norcross Medical Clinic, Magnolia Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH H SHAH M.D. (OWNER/PHYSICIAN)
(770) 931-1333
Entity
Organization
Contact information
Practice address
1235 INDIAN TRAIL ROAD, SUITE 200, NORCROSS, GA 30093
(770) 931-1333
(770) 931-3111
Mailing address
PO BOX 1553, DULUTH, GA 30096
(770) 931-1333
(770) 931-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
05/28/2015
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