Individual
SHIVAN NARENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 W FRANKLIN ST, SYLVESTER, GA 31791-1978
(229) 776-2965
Mailing address
1014 W FRANKLIN ST, SYLVESTER, GA 31791-1978
(229) 776-2965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99755
LICENSE
GA
Enumeration date
06/03/2021
Last updated
11/06/2024
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