Individual
PAYAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 966-4713
Mailing address
5325 SUNSET MAPLE TRL, LILBURN, GA 30047-7072
(404) 966-4713
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN181347
GA
363LF0000X
Family Nurse Practitioner
RN181347
GA
Other
Enumeration date
12/17/2013
Last updated
10/08/2024
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