Individual
CHETAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 WOODFALL CT, BRUNSWICK, GA 31525
(912) 571-8905
Mailing address
12 WOODFALL CT, BRUNSWICK, GA 31525-4729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 44632
FL
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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