Individual
NISHA J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2427 MAIN STREET EAST, SNELLVILLE, GA 30078
(770) 978-2020
Mailing address
PO BOX 207173, DALLAS, TX 75320-7173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002796
GA
152W00000X
Optometrist
8092T
TX
Other
Enumeration date
08/29/2012
Last updated
09/24/2021
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