Individual
NIDHI N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4900 IVEY RD NW STE 1301, ACWORTH, GA 30101-4112
(770) 975-9077
Mailing address
4900 IVEY RD NW STE 1301, ACWORTH, GA 30101-4112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92228
GA
Other
Enumeration date
04/04/2020
Last updated
09/22/2023
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