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Individual

KISHAN PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Mailing address
860 FOREST ST, HINESVILLE, GA 31313-4140
(912) 321-8719

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT016239
GA

Other

Enumeration date
09/09/2022
Last updated
09/09/2022
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