Organization
MANAN I SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANAN I SHAH M.D. (PHYSICIAN/OWNER)
(770) 868-0101
Entity
Organization
Contact information
Practice address
14 VISION STREET, SUITE 100, BETHLEHEM, GA 30620
(770) 868-0101
Mailing address
14 VISION STREET, SUITE 100, BETHLEHEM, GA 30620
(770) 868-0101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
58505
GA
Other
Enumeration date
05/19/2010
Last updated
06/25/2014
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