Individual
URVIBEN REKSHITKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Mailing address
777 HEMLOCK ST, MSC 143, MACON, GA 31201-2102
(478) 633-5550
(478) 784-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
063937
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
063937
GA
208M00000X
Hospitalist Physician
063937
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579369022H
—
GA
Enumeration date
05/16/2007
Last updated
07/21/2022
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