Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1405 FRANKLIN GTWY SE, MARIETTA, GA 30067-8705
(770) 951-5400
(770) 702-1312
Mailing address
1405 FRANKLIN GTWY SE, MARIETTA, GA 30067-8705
(770) 951-5400
(770) 702-1312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN300775
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
202325129
GA
Other
Enumeration date
01/02/2024
Last updated
05/01/2025
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