Individual
DHARA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2496 COLUMBIA DR, DECATUR, GA 30034-1769
(404) 534-9222
Mailing address
2496 COLUMBIA DR, DECATUR, GA 30034-1769
(404) 534-9222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9202
GA
Other
Enumeration date
04/01/2019
Last updated
05/05/2019
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