Organization
PERSONAL FAMILY CARE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY K SHUKLA M.D. (PRESIDENT)
(706) 517-0533
Entity
Organization
Contact information
Practice address
106 HOSPITAL DR, SUITE 5, CHATSWORTH, GA 30705-2070
(706) 517-0533
(706) 517-3032
Mailing address
106 HOSPITAL DR, SUITE 5, CHATSWORTH, GA 30705-2070
(706) 517-0533
(706) 517-3032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039940
MEDICAL LICENSE
GA
Enumeration date
03/12/2007
Last updated
08/22/2020
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