Individual
AMY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 532-7179
Mailing address
1488 JESSE JEWELL PKWY SE STE 100, GAINESVILLE, GA 30501-3804
(770) 532-7179
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9290
GA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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