Individual
MRS. PUJA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4505 ASHFORD DUNWOODY RD NE STE 15B, DUNWOODY, GA 30346-1516
(337) 692-4016
Mailing address
2825 WINDY HILL RD SE UNIT 1-09101, MARIETTA, GA 30067-6106
(337) 692-4016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11624
GA
363AM0700X
Medical Physician Assistant
Primary
11624
GA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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