Individual
KETAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4542 HIGHWAY 58, CHATTANOOGA, TN 37416-3009
(423) 892-6787
Mailing address
226 CARRIAGE PARC DR, CHATTANOOGA, TN 37421-7145
(423) 505-4833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33704
TN
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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