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EKTA RUPIN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2495 PIO NONO AVE, MACON, GA 31206-2829
(478) 784-9747
Mailing address
521 LOKCHAPEE DR, MACON, GA 31210-4211
(478) 320-0412

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023170
GA

Other

Enumeration date
10/12/2011
Last updated
10/12/2011
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