Individual
PULIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 N MAIN ST, EMERGENCY DEPT, CEDARTOWN, GA 30125-2644
(770) 748-2500
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
59306
GA
207Q00000X
Family Medicine Physician
Primary
059306
GA
207Q00000X
Family Medicine Physician
25191
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20020669
SELECT HEALTH
SC
05
—
251916
—
SC
05
—
540467491D
—
GA
01
—
576007863
CIGNA
SC
Enumeration date
09/22/2006
Last updated
03/07/2023
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