Individual
DR. RAVI J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1811 MANNING DR, VIDALIA, GA 30474
(912) 537-7476
(912) 538-8443
Mailing address
PO BOX 1870, VIDALIA, GA 30475-1870
(912) 537-7476
(912) 538-8443
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000256209F
—
GA
Enumeration date
10/02/2006
Last updated
07/08/2007
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