Organization
NORTH ATLANTA VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNIMA SHARAD PATEL MD (CEO OWNER)
(404) 777-2020
Entity
Organization
Contact information
Practice address
5185 PEACHTREE PKWY STE 365, PEACHTREE CORNERS, GA 30092-6542
(404) 777-2020
(404) 777-7701
Mailing address
1579 MONROE DR NE STE F242, ATLANTA, GA 30324-5039
(404) 777-2020
(404) 777-7701
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106101F
—
GA
05
—
003254871A
—
GA
Enumeration date
04/19/2022
Last updated
05/17/2022
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