Individual
SHILA B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2704 N OAK ST, BUILDING B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
(229) 257-0050
Mailing address
773 LAKE LAURIE DR, VALDOSTA, GA 31605-6421
(229) 257-0100
(229) 257-0050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026801
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00360797A
—
GA
Enumeration date
06/27/2006
Last updated
07/08/2007
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