Individual
KANAN AMIT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 SANDY PLAINS RD, MARIETTA, GA 30066-4721
(770) 977-7661
(678) 560-6243
Mailing address
2284 GLENRIDGE DR, MARIETTA, GA 30062-1876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022219
GA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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