Individual
JAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 MARKET PLACE BLVD, CUMMING, GA 30041-6060
(770) 887-9325
Mailing address
1795 PORTERTON WAY, CUMMING, GA 30041-9570
(865) 384-8651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020629
GA
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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