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Individual

BHAVISHA PRAVIN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N PEACHTREE PKWY STE 1, PEACHTREE CITY, GA 30269-1744
(770) 487-8900
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003052
GA

Other

Enumeration date
08/13/2017
Last updated
02/03/2025
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