Individual
HENISHA H PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E ALICE ST, BAINBRIDGE, GA 39819-4998
(229) 246-9551
Mailing address
132 HAVANNA AVE, WAYCROSS, GA 31501-1075
(912) 614-1505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032073
GA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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