Individual
GAUTAMKUMAR BABULAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
578 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2957
(423) 476-7116
(423) 476-9244
Mailing address
578 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2957
(423) 476-7116
(423) 476-9244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000028054
TN
183500000X
Pharmacist
5302037069
MI
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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