Individual
DHARTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 424-9095
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 424-9095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209-006178
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN149650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106975A
—
GA
05
—
003106975B
—
GA
05
—
003106975C-
—
GA
Enumeration date
09/12/2007
Last updated
06/11/2012
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