Individual
SITAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3505 PELHAM RD, GREENVILLE, SC 29615-4114
(864) 288-8878
Mailing address
808 GIVERNY CT, GREENVILLE, SC 29607-6212
(864) 329-1579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A 675
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A675
SC MEDICAL LICENCE NUMBER
SC
Enumeration date
05/14/2007
Last updated
07/08/2007
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