Individual
MR. KISHAN AJIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 RIVERSIDE DR, MACON, GA 31210-2513
(478) 474-5600
(478) 471-6769
Mailing address
3400 RIVERSIDE DR, MACON, GA 31210-2513
(478) 474-5600
(478) 471-6769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95079
GA
Other
Enumeration date
04/02/2020
Last updated
11/01/2023
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