Individual
DIVYALATA VISHAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3110 CLIFTON SPRINGS RD, DECATUR, GA 30034-4600
(404) 244-2200
(404) 244-2209
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3275
(404) 508-7862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN213374
GA
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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