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Individual

DR. MIRAL PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1515 RIVER PL STE 100, BRASELTON, GA 30517-5610
(770) 848-6195
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036143767
IL
207Q00000X
Family Medicine Physician
Primary
89590
GA

Other

Enumeration date
06/25/2014
Last updated
06/01/2022
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