Individual
DR. PINECCA J PATEL-RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5830 BOND ST, STE 200, CUMMING, GA 30040-0307
(770) 455-4009
(770) 455-4065
Mailing address
3495 BUCKHEAD LOOP NE # 18959, ATLANTA, GA 30326-1528
(678) 539-0160
(801) 797-0276
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001059
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2320170
CIGNA
GA
Enumeration date
06/26/2007
Last updated
05/29/2023
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