Individual
MRS. MANALI CHETANKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3328 LAKEWOOD DR NW, CLEVELAND, TN 37312-2099
(423) 284-3077
Mailing address
6851 SHALLOWFORD RD, CHATTANOOGA, TN 37421-6758
(423) 284-3077
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
0000039670
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55601087277
—
TN
Enumeration date
12/16/2018
Last updated
12/16/2018
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