Individual
PRIYA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
Mailing address
1515 4TH AVE NE APT N4, MOULTRIE, GA 31768-9117
(484) 682-8080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11045
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1195045
NCCPA
GA
Enumeration date
09/20/2022
Last updated
09/21/2022
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