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DR. PURVITA AJITBHAI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6264 HOSPITAL WAY, DOUGLASVILLE, GA 30134-1944
(678) 977-8300
(866) 489-2642
Mailing address
PO BOX 1916, DOUGLASVILLE, GA 30133-1916
(678) 977-8300
(866) 489-2642

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003496
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003496
GA

Other

Enumeration date
09/27/2011
Last updated
09/27/2011
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