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Organization
AUGUSTA FAMILY MEDICINE LLC
Active
Organization
AUGUSTA FAMILY MEDICINE LLC
Active
Other names
Mittal Patel Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
MITTAL J. PATEL M.D. (OWNER)
(706) 860-2986
Entity
Organization
Contact information
Practice address
1224 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-6582
(706) 860-2986
Mailing address
1224 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-6582
(706) 860-2986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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