Individual
HETAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 848-4670
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD61471495
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/30/2023
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