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Individual

BIJAL JYOTINDRA DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
(404) 367-3558
Mailing address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
(404) 367-3558

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
069940785
GA

Other

Enumeration date
03/07/2013
Last updated
07/11/2016
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