Individual
SHIVANI DHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 LACY ST NW STE 200, MARIETTA, GA 30060-1118
(770) 426-7177
Mailing address
141 LACY ST NW STE 200, MARIETTA, GA 30060-1118
(770) 426-7177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
09/05/2023
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