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MAYUR CHANDRAKANT PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
775 POPLAR RD, SUITE 130, NEWNAN, GA 30265-8300
(770) 683-6921
Mailing address
775 POPLAR RD, SUITE 130, NEWNAN, GA 30265-8300

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
069418
GA
207RP1001X
Pulmonary Disease Physician
Primary
069418
GA

Other

Enumeration date
11/27/2007
Last updated
11/10/2015
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