Individual
JAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1668 MULKEY RD, AUSTELL, GA 30106-1143
(770) 948-3233
(770) 944-1537
Mailing address
205 CROSS RD, ACWORTH, GA 30102-1349
(330) 256-3143
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH028066
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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