Individual
SRADDHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 LOGANVILLE HWY, BETHLEHEM, GA 30620-1709
(470) 866-2396
Mailing address
590 LANIER AVE W, FAYETTEVILLE, GA 30214-1504
(678) 688-9685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN315487
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP315487
GA
Other
Enumeration date
09/29/2022
Last updated
12/29/2025
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