Individual
PRUTHU P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(404) 367-3014
Mailing address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
079621
GA
208M00000X
Hospitalist Physician
079621
GA
Other
Enumeration date
03/21/2011
Last updated
11/14/2022
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