Individual
MRS. INDIRA ASHOK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PHYSICAL TH
Contact information
Practice address
2839 HIDDEN FALLS DRIVE, BUFORD, GA 30519
(770) 904-5903
Mailing address
2839 HIDDEN FALLS DRIVE, BUFORD, GA 30519
(770) 904-5903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
00700003106
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT002755
GA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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