Individual
NIYATI MITAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
95 COLLIER RD NW STE 2055, ATLANTA, GA 30309-1721
(404) 605-5699
Mailing address
24 WILTOWN CT, COLUMBIA, SC 29212-0620
(803) 814-8050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12716
GA
Other
Enumeration date
01/31/2024
Last updated
11/26/2024
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