Individual
MITALI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-3838
(706) 631-1139
Mailing address
2170 ANNIE LAURA LN, MOUNT PLEASANT, SC 29466-8800
(706) 631-1139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
86023
GA
Other
Enumeration date
04/25/2017
Last updated
04/22/2024
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