Individual
NIDDHI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-8479
(770) 963-0370
Mailing address
455 OAK SPRINGS DR, LAWRENCEVILLE, GA 30043-3540
(229) 343-2361
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003665
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/24/2025
Last updated
06/16/2025
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