Individual
ANISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(678) 482-6100
Mailing address
2789 BRIDLE RIDGE WAY, BUFORD, GA 30519-7661
(678) 372-6339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010115
GA
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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