Individual
ANJANA M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
(678) 205-5111
Mailing address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
(678) 205-5111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3782
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
696237203A
—
GA
05
—
696237203B
—
GA
05
—
696237203D
—
GA
05
—
696237203E
—
GA
05
—
696237203F
—
GA
Enumeration date
08/23/2005
Last updated
10/02/2015
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