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Individual

JULISA MARGARITA PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # BI1056, AUGUSTA, GA 30912-0004
(706) 724-6100

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
080360
GA
2080P0216X
Pediatric Rheumatology Physician
2012-01786
NC

Other

Enumeration date
06/12/2008
Last updated
06/22/2018
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