Individual
HIMESHKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 NEW FRANKLIN RD, LAGRANGE, GA 30240-1827
(706) 812-8456
Mailing address
34 CLIFFHAVEN CIR, NEWNAN, GA 30263-5774
(706) 984-9601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027511
GA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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