Organization
IDSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NALINI A PATEL MD (OWNER)
(478) 396-8783
Entity
Organization
Contact information
Practice address
1118 MORNINGSIDE DR STE B, PERRY, GA 31069-4949
(478) 396-8783
Mailing address
2929 WATSON BLVD ST 2 # 341, WARNER ROBINS, GA 31093-3612
(478) 396-8783
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
GA
Other
Enumeration date
08/10/2006
Last updated
07/21/2022
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