Organization
GEORGIA CLINIC PATIENT OUTREACH LLC
Active
Other names
Georgia clinic patient outreach llc
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NINA D SHAH (MANGER)
(404) 820-1017
Entity
Organization
Contact information
Practice address
6330 PRIMROSE HILL CT # 108, NORCROSS, GA 30092-4544
(770) 903-0144
Mailing address
6330 PRIMROSE HILL CT # 108, NORCROSS, GA 30092-4544
(770) 903-0144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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