Individual
PUNAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
203 RIVIERA CT, MCDONOUGH, GA 30253-4249
(404) 550-7171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN198180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135213A
—
GA
05
—
003135213B
—
GA
05
—
003135213C
—
GA
05
—
003135213D
—
GA
Enumeration date
05/31/2013
Last updated
03/25/2026
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