Individual
YOGI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
3317 BAGLEY TRCE, DULUTH, GA 30097-3782
(404) 542-3336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9516
GA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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