Individual
MRS. AMITA ATUL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 BARNETT SHOALS RD, ATHENS, GA 30605-6811
(706) 227-6265
Mailing address
205 WATERFORD WAY, ATHENS, GA 30606-3247
(706) 613-6473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16274
GA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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