Individual
DR. SHIVAM DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
(770) 502-2175
Mailing address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
(770) 502-2175
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85255
GA
Other
Enumeration date
04/14/2014
Last updated
11/18/2021
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