Individual
DR. DHARA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1995 MALL OF GEORGIA BLVD STE A, BUFORD, GA 30519-6545
(678) 381-2020
(678) 381-2015
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD STE 1201, SUWANEE, GA 30024-4550
(678) 381-2020
(678) 381-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003164
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
09/06/2020
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