Individual
SHIVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 BURNHAM RDG, LAWRENCEVILLE, GA 30046-2864
(404) 953-8526
Mailing address
2160 FOUNTAIN DR, SNELLVILLE, GA 30078-7022
(404) 953-8526
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN290571
GA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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