Individual
JALPA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4806 FOREST LAKE DR W, TIFTON, GA 31794-2214
(863) 398-1300
Mailing address
4806 FOREST LAKE DR W, TIFTON, GA 31794-2214
(863) 398-1300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023448
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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