Individual
DR. EKTA GAURANG PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
400 BARRETT PKWY, 297, KENNESAW, GA 30144-4917
(770) 421-1734
(770) 421-0319
Mailing address
400 BARRETT PKWY, 297, KENNESAW, GA 30144-4917
(770) 421-1734
(770) 421-0319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002552
GA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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