Individual
KANAN A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 WHEELER RD, AUGUSTA, GA 30909-6623
(423) 486-0145
Mailing address
1145 HUNTERS CV, EVANS, GA 30809-6905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012721
GA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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