Individual
PARTH KIRITKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 RIVERSIDE DR, MACON, GA 31210-2513
(478) 474-5600
(478) 471-6769
Mailing address
3400 RIVERSIDE DR, MACON, GA 31210-2513
(478) 474-5600
(478) 471-6769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
010545
GA
207Q00000X
Family Medicine Physician
Primary
89948
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2018
Last updated
03/04/2022
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