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NITIN RASIKCHANDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 232-4833
(877) 343-0538
Mailing address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 232-4833
(877) 343-0538

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
37324
GA
2084P0800X
Psychiatry Physician
037324
GA
2084P0800X
Psychiatry Physician
Primary
37324
GA
2084P0802X
Addiction Psychiatry Physician
37324
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00558192A
GA
Enumeration date
06/28/2006
Last updated
04/22/2021
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