Individual
KRUTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4484 OCEAN FARM DR, SUMMERVILLE, SC 29485-9326
(336) 929-1655
Mailing address
4484 OCEAN FARM DR, SUMMERVILLE, SC 29485-9326
(336) 929-1655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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