Organization
DIPAK B PATEL MD LLC
Active
Other names
Buford Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANISH B PATEL (PRACTICE MANAGER)
(770) 271-7680
Entity
Organization
Contact information
Practice address
4745 NELSON BROGDON BLVD, STE 200, BUFORD, GA 30518-3713
(770) 945-7676
(770) 932-9845
Mailing address
4745 NELSON BROGDON BLVD, STE 200, BUFORD, GA 30518-3713
(770) 945-7676
(770) 932-9845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048174
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969140468A
—
GA
Enumeration date
04/03/2007
Last updated
10/09/2012
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