Individual
NIRVI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 PRINCE AVE, SUITE 201, ATHENS, GA 30606
(706) 475-7055
Mailing address
1199 PRINCE AVE #70, ATHENS, GA 30606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61176395
WA
Other
Enumeration date
04/17/2018
Last updated
07/08/2022
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