Individual
RADHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 S PARK ST, CARROLLTON, GA 30117-4456
(678) 782-9994
Mailing address
113 FOUNTAIN OAK, VILLA RICA, GA 30180-6994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9450
GA
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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