Organization
WEST ATLANTA PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVAM DESAI MD (OWNER)
(678) 401-4597
Entity
Organization
Contact information
Practice address
4904 TIMBER RIDGE DR STE 102, DOUGLASVILLE, GA 30135-1831
(678) 521-0935
Mailing address
4904 TIMBER RIDGE DR STE 102, DOUGLASVILLE, GA 30135-1831
(678) 521-0935
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
03/25/2023
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