Individual
DR. KETAN B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1720 HONEY CREEK COMMONS, STE B, CONYERS, GA 30013-5826
(770) 483-1100
(770) 483-5855
Mailing address
1975 HIGHWAY 54 W, SUITE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00915725A
—
GA
Enumeration date
06/09/2005
Last updated
12/09/2015
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