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Individual

DIMPLE D. SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
137 JOHNSON FERRY RD, SUITE 1200, MARIETTA, GA 30068-4945
(404) 251-1912
(678) 843-9650
Mailing address
137 JOHNSON FERRY RD, SUITE 1200, MARIETTA, GA 30068-4945
(404) 251-1912
(678) 843-9650

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
059329
GA
207R00000X
Internal Medicine Physician
ME105115
FL

Other

Enumeration date
06/25/2007
Last updated
10/05/2015
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