Individual
HETAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 TOWNSEND BND, STOCKBRIDGE, GA 30281-7002
(404) 914-5974
Mailing address
505 TOWNSEND BND, STOCKBRIDGE, GA 30281-7002
(404) 914-5974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020524
GA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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