Individual
NIMISH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6650 HIGHWAY 85, RIVERDALE, GA 30274-2382
(770) 997-6222
Mailing address
6650 HIGHWAY 85, RIVERDALE, GA 30274-2382
(770) 997-6222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11297
GA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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