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Individual

BHAVIK DHYANESH MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
1483 DEVON MILL WAY, AUSTELL, GA 30168-5925
(404) 660-7646
Mailing address
1483 DEVON MILL WAY, AUSTELL, GA 30168-5925
(404) 660-7646

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2096
367H00000X
Anesthesiologist Assistant
7751
GA

Other

Enumeration date
08/24/2015
Last updated
01/29/2024
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