Organization
PATEL MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILPESH SHANTILAL PATEL M.D. (PRESIDENT)
(803) 835-6500
Entity
Organization
Contact information
Practice address
515 RIVER CROSSING DR, SUITE 200, FORT MILL, SC 29715-7900
(803) 835-6500
(803) 835-1990
Mailing address
PO BOX 1089, FORT MILL, SC 29716-1089
(803) 835-6500
(803) 835-1990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200838
—
SC
Enumeration date
04/01/2010
Last updated
05/26/2020
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