Individual
DR. NIMISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4745 NELSON BROGDON BLVD., SUITE - 100, BUFORD, GA 30518
(770) 945-7186
Mailing address
4745 NELSON BROGDON BLVD., SUITE - 100, BUFORD, GA 30518
(770) 271-4411
(770) 271-4499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN03402
GA
1223G0001X
General Practice Dentistry
Primary
DN013402
GA
Other
Enumeration date
05/03/2007
Last updated
04/28/2014
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