Individual
TAMPHAMANI CHIRAGKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 BRIERS CREEK DR, ALPHARETTA, GA 30004-7116
(248) 686-6917
Mailing address
1235 BRIERS CREEK DR, ALPHARETTA, GA 30004-7116
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
P15030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0917
NURSING HOME
GA
Enumeration date
01/08/2019
Last updated
01/08/2019
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