Individual
SAMIR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(404) 292-3810
Mailing address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(404) 292-3810
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
EPP869
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2017
Last updated
01/13/2021
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