Individual
HARDI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 S MARIETTA PKWY SE STE 228, MARIETTA, GA 30067-2890
(770) 615-7580
Mailing address
124 GLEN EAGLE WAY, MCDONOUGH, GA 30253-4226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001861
GA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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