Individual
DR. SUKETU J. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1222 BRAMPTON AVE, STATESBORO, GA 30458-0849
(912) 665-8657
(912) 764-9789
Mailing address
1222 BRAMPTON AVE, STATESBORO, GA 30458-0849
(912) 665-8657
(912) 764-9789
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132390B
—
GA
Enumeration date
01/31/2007
Last updated
05/22/2024
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