Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Medical Clinic, PC

Organization Family Medicine Physician · NPI 1184711517

Magnolia Medical Clinic, PC is a Family Medicine Physician in Norcross, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1235 Indian Trail Rd Ste 200
Norcross, GA 30093
Phone: (770) 931-1333
Fax: (770) 931-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1184711517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suresh Shah — Owner/Physician · (770) 931-1333
Other names Norcross Medical Clinic, Magnolia Medical Clinic
NPI enumeratedOctober 6, 2006
Last updated in NPPESMay 28, 2015
Mailing addressPo Box 1553, Duluth, GA 30096

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