Provider Demographics
NPI:1679503577
Name:MAKHLOUF, SHUKRI GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHUKRI
Middle Name:GEORGE
Last Name:MAKHLOUF
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 4203
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4539
Mailing Address - Country:US
Mailing Address - Phone:770-831-3018
Mailing Address - Fax:770-831-3669
Practice Address - Street 1:1300 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 4203
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4539
Practice Address - Country:US
Practice Address - Phone:770-831-3018
Practice Address - Fax:770-831-3669
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2015-09-30
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Provider Licenses
StateLicense IDTaxonomies
GA057537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine