Organization
PATINA MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL PATEL MD (CHIEF HEALTH OFFICER)
(855) 478-8208
Entity
Organization
Contact information
Practice address
101 N TRYON ST STE 600, CHARLOTTE, NC 28246-0100
(855) 478-8208
Mailing address
150 MONUMENT RD STE 500, BALA CYNWYD, PA 19004-1701
(855) 478-8208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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