| NPI | 1184711517 |
|---|---|
| Other Name | NORCROSS MEDICAL CLINIC, MAGNOLIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SURESH H SHAH Owner/Physician 770-931-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-05-28 |