Individual
SHASHIKANT PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
2727 PACES FERRY ROAD, SUITE 1-1100 (ATTENTION: DENISE), ATLANTA, GA 30339
(470) 271-3421
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
077888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07698
—
LA
Enumeration date
05/24/2007
Last updated
07/21/2022
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