Individual
JATIN INDRAVADAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15328 US HIGHWAY 19 S, THOMASVILLE, GA 31757-4824
(229) 228-5771
Mailing address
121 WILLOW RIDGE CIR, THOMASVILLE, GA 31757-2834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029371
GA
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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