Individual
JAIMI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1523 FAIR RD, STATESBORO, GA 30458-6025
(912) 871-2000
Mailing address
604 WYNDHAM WAY, POOLER, GA 31322-3623
(678) 570-3568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8870
GA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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