Organization
CRANIOFACIAL PAIN CENTER OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYOOR PATEL DDS (OWNER)
(678) 899-6076
Entity
Organization
Contact information
Practice address
200 ASHFORD CTR N STE 195, ATLANTA, GA 30338-2668
(678) 899-6076
(678) 984-9558
Mailing address
200 ASHFORD CTR N STE 195, ATLANTA, GA 30338-2668
(678) 899-6076
(678) 984-9558
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
GA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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