Individual
PRIYANKA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3991 HIGHWAY 78 W STE 102, SNELLVILLE, GA 30039-3929
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
96110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030540000-001
—
PA
Enumeration date
08/09/2009
Last updated
07/19/2024
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