Individual
DR. PRATIK THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
371 E PACES FERRY RD NE STE 300, ATLANTA, GA 30305-3292
(404) 350-2060
Mailing address
371 E PACES FERRY RD NE STE 300, ATLANTA, GA 30305-3292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84790
GA
Other
Enumeration date
03/24/2017
Last updated
07/22/2020
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