Individual
KETAN PRAVINBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1401 JOHNSON FERRY RD, MARIETTA, GA 30062-6495
(770) 240-0006
Mailing address
121 SETTLERS POINT DR, GUYTON, GA 31312-6596
(843) 415-2032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028799
GA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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