Organization
ANAYA PATEL LLC
Active
Other names
ChiroCare Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMEEL SUBHASH PATEL D.C. (OWNER / OPERATOR)
(618) 751-9055
Entity
Organization
Contact information
Practice address
327 E JACKSON ST, SUITE B, THOMASVILLE, GA 31792-5194
(229) 227-0026
(229) 227-1523
Mailing address
327 E JACKSON ST, SUITE B, THOMASVILLE, GA 31792-5194
(229) 227-0026
(229) 227-1523
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I359715
MEDICARE PTAN
GA
Enumeration date
12/17/2014
Last updated
12/17/2014
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