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Individual

GIRISH I SHROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
207R00000X
Internal Medicine Physician
Primary
019103
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000137827B
GA
Enumeration date
12/19/2006
Last updated
07/08/2010
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