Individual
KUNAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
764 PINE ST, MACON, GA 31201
(478) 633-1721
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010564
HI
207R00000X
Internal Medicine Physician
Primary
88474
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
01/20/2022
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