Individual
SUKETU J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 HIGHWAY 34 E STE 300, NEWNAN, GA 30265-2315
(678) 423-7700
(678) 423-7710
Mailing address
2700 HIGHWAY 34 E STE 100, NEWNAN, GA 30265-2315
(678) 423-7700
(678) 423-7710
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55419
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477988130F
—
GA
Enumeration date
06/23/2006
Last updated
04/02/2025
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