Individual
TIRTH J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 546-0170
(706) 546-5015
Mailing address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 546-0170
(706) 546-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-11668
IA
207W00000X
Ophthalmology Physician
Primary
96206
GA
207W00000X
Ophthalmology Physician
R-11668
IA
Other
Enumeration date
06/21/2019
Last updated
04/29/2024
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