Individual
MANISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 NORTHSIDE FORSYTH DR, SUITE 300, CUMMING, GA 30041-8416
(678) 366-2154
Mailing address
2210 AVONLEIGH DR, CUMMING, GA 30041-2628
(256) 744-6887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN242966
GA
Other
Enumeration date
10/13/2014
Last updated
12/09/2016
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