Individual
VANISHA NIRAV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
300 PAPER MILL DR, LAWRENCEVILLE, GA 30046-3196
(678) 977-6296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9451
GA
Other
Enumeration date
10/10/2019
Last updated
04/15/2026
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