Individual
DR. MISTI BENTON PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 PINE ST STE 990, MACON, GA 31201-7500
(478) 633-0404
(478) 633-0805
Mailing address
840 PINE ST STE 990, MACON, GA 31201-7500
(478) 633-0404
(478) 633-0805
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
75341
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2012
Last updated
09/16/2020
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