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Organization

AUGUSTA FAMILY MEDICINE LLC

Active
Other names
Mittal Patel Sole MBR
Organization subpart
No

Provider details

NPI number
Authorized official
MITTAL J. PATEL M.D. (OWNER)
(706) 860-2986
Entity
Organization

Contact information

Practice address
1224 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-6582
(706) 860-2986
Mailing address
1224 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-6582
(706) 860-2986

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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