Individual
RAVIJA RAJESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5550
(478) 633-7287
Mailing address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5550
(478) 633-7287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009145
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
10/25/2024
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