Individual
DR. SHAILESH S KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA 30354-4302
(770) 938-2625
(404) 549-3393
Mailing address
1938 COBBLESTONE CIR NE, ATLANTA, GA 30319-4905
(770) 938-2625
(404) 477-0906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO08446
GA
Other
Enumeration date
02/16/2009
Last updated
08/01/2011
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