Individual
VAISHALI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
702 S CUMBERLAND ST, LEBANON, TN 37087-4110
(615) 444-2121
Mailing address
702 S CUMBERLAND ST, LEBANON, TN 37087-4110
(615) 444-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
09/12/2022
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