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Individual

JEEVITHA PATIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11975 MORRIS RD STE 200, ALPHARETTA, GA 30005-4444
(404) 303-1224
(404) 303-1325
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-8035
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
86422
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003235600A
GA
01
GRP3569
MEDICARE
GA
Enumeration date
05/19/2016
Last updated
12/15/2020
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