Individual
MRS. SHAIROZ SULTAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 220, CUMMING, GA 30040
(770) 336-7795
Mailing address
2070 FIDDLEHEAD CT, CUMMING, GA 30041-1601
(404) 735-7115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9069
GA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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