Individual
MR. HARRIS A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1900 RIVERSIDE PKWY, LAWRENCEVILLE, GA 30043-5925
(678) 471-7909
Mailing address
1935 RACQUET CLUB CIR, LAWRENCEVILLE, GA 30043-5651
(678) 471-7909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT000821
GA
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/03/2006
Last updated
04/14/2009
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