SHIVDHARAA LLC

LAWRENCEVILLE, GA
NPI1619688660
Doing Business AsEVOLVE MEDICAL CARE CLINIC
Entity TypeOrganization
Authorized ContactBIJAL PATEL
Owner
678-643-5580
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2022-12-12
Last Update Date2024-05-08
Business Address
SHIVDHARAA LLC
3639 LAWRENCEVILLE HWY # 7
LAWRENCEVILLE, GA 30044-4107
Phone number: 404-940-2033
Mailing Address
SHIVDHARAA LLC
2515 HAYNES CLUB CIR
GRAYSON, GA 30017-2814
Phone number: 678-643-5580