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Individual

NEEMA N/A PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1015 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 760-0221
Mailing address
1015 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 760-0221

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
MTA01015248
CA
246QM0706X
Medical Technologist
Primary
TN48992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100162709
DRIVERS LICENSE
SC
Enumeration date
05/02/2019
Last updated
05/02/2019
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