Organization
V AND V CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSHYANT J PATEL MD (DOCTOR)
(912) 383-8617
Entity
Organization
Contact information
Practice address
1020 WEST BRYAN STREET, DOUGLAS, GA 31533
(912) 383-8617
(912) 383-1135
Mailing address
1020 BRYAN ST W, DOUGLAS, GA 31533-2328
(912) 383-8617
(912) 384-1135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033667
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000439381A
—
GA
Enumeration date
04/01/2009
Last updated
04/01/2009
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