Individual
DR. MAANSI AJAY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2209 LAKE PARK DR SE APT H, SMYRNA, GA 30080-8971
(248) 890-9212
Mailing address
2209 LAKE PARK DR SE APT H, SMYRNA, GA 30080-8971
(248) 890-9212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009685
MI
111N00000X
Chiropractor
CHIR008726
GA
Other
Enumeration date
07/25/2010
Last updated
12/07/2010
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