Individual
SHANTU NAGIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1610 JOHN ORR DR STE A, TIFTON, GA 31794-3662
(229) 386-5222
(229) 382-6191
Mailing address
PO BOX 7630, TIFTON, GA 31793-7630
(229) 386-5222
(229) 382-6191
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
051173
GA
Other
Enumeration date
02/06/2006
Last updated
07/24/2007
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