# PATEL MEDICAL CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528383577
- **Authorized official:** DR. SHILPESH SHANTILAL PATEL M.D. (PRESIDENT)
- **Authorized official phone:** (803) 835-6500

## Contact information

- **Practice address:** 515 RIVER CROSSING DR, SUITE 200, FORT MILL, SC 29715-7900
- **Practice address phone:** (803) 835-6500
- **Practice address fax:** (803) 835-1990
- **Mailing address:** PO BOX 1089, FORT MILL, SC 29716-1089
- **Mailing address phone:** (803) 835-6500
- **Mailing address fax:** (803) 835-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20083 | SC | Yes |

## Other

- **Enumeration date:** 04/01/2010
- **Last updated:** 05/26/2020