Individual
SHIVAM VINU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
2000 CHURCH ST, NASHVILLE, TN 37236-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99487
GA
Other
Enumeration date
03/25/2021
Last updated
06/30/2024
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