Individual
SHITAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4025 LAWRENCEVILLE HWY NW STE A, LILBURN, GA 30047-2876
(770) 559-3501
Mailing address
3342 KATELYN CT SW, LILBURN, GA 30047-1957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN309423
GA
Other
Enumeration date
03/08/2022
Last updated
03/15/2022
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