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NISHA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
631 PROFESSIONAL DR STE 360, LAWRENCEVILLE, GA 30046-3370
(678) 312-2700
Mailing address
5388 OLD WOODALL CT, DORAVILLE, GA 30360-1266
(678) 467-5595

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7470
GA

Other

Enumeration date
01/13/2015
Last updated
03/09/2021
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