Individual
KISAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1907 E VICTORY DR, SAVANNAH, GA 31404-3714
(912) 644-1601
Mailing address
732 CANYON DR, SAVANNAH, GA 31419-7805
(912) 656-2877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032475
GA
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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