Organization
ALLERGY SPECIALISTS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILESH KOTHARI D.C. (CEO)
(404) 423-6840
Entity
Organization
Contact information
Practice address
438 HENRY FORD, ATLANTA, GA 30354
(678) 235-2401
(678) 235-2403
Mailing address
2643 CALDWELL RD NE, ATLANTA, GA 30319-3118
(404) 423-6840
(770) 216-1509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58930
GA
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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