Individual
MR. DINU PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3010 US HIGHWAY 80 STE B, BLOOMINGDALE, GA 31302-4557
(912) 988-1780
Mailing address
3010 US HIGHWAY 80 STE B, BLOOMINGDALE, GA 31302-4557
(912) 988-1780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032012556
DRIVERS LICENSE
GA
Enumeration date
07/27/2019
Last updated
07/27/2019
About Stedi
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