Individual
RUTT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK STREET, MSC # 69, MACON, GA 31201
(478) 633-1721
Mailing address
777 HEMLOCK STREET, MSC # 69, MACON, GA 31201
(786) 331-7214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17559
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2025
Last updated
07/02/2025
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