Individual
DR. JETALKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 MARKET PLACE BLVD, CARTERSVILLE, GA 30121-8718
(770) 386-7582
Mailing address
100 MARKET PLACE BLVD, CARTERSVILLE, GA 30121-8718
(770) 386-7582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH027326
PHARMACIST LICENSES
GA
Enumeration date
12/10/2015
Last updated
05/10/2016
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