Individual
MS. LEENA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 422-1372
(770) 423-9651
Mailing address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 422-1372
(770) 423-9651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004360
GA
Other
Enumeration date
02/23/2007
Last updated
11/06/2019
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