Organization
PATEL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAV B PATEL MD (PHYSICIAN/OWNER)
(470) 395-6932
Entity
Organization
Contact information
Practice address
1519 JOHNSON FERRY RD STE 250, MARIETTA, GA 30062-6494
(470) 395-6932
(470) 395-6951
Mailing address
1519 JOHNSON FERRY RD STE 250, MARIETTA, GA 30062-6494
(470) 395-6932
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
01/10/2025
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