Individual
DR. SHAWN BALDEV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
Mailing address
80 SUMMER LEIGH DR, STOCKBRIDGE, GA 30281-5897
(470) 331-4137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83112
GA
208M00000X
Hospitalist Physician
Primary
83112
GA
Other
Enumeration date
04/07/2016
Last updated
10/07/2020
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