Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 W PEACHTREE ST NW STE 200A, ATLANTA, GA 30309-3609
(404) 575-2000
(404) 575-2001
Mailing address
1110 W PEACHTREE ST NW STE 200A, ATLANTA, GA 30309-3609
(404) 575-2000
(404) 575-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10305
GA
363A00000X
Physician Assistant
3542
SC
Other
Enumeration date
04/05/2020
Last updated
06/19/2024
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