Individual
RICKEY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(404) 365-0966
Mailing address
3733 BERMUDA RUN DR, VALDOSTA, GA 31605-1059
(229) 834-7968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98355
GA
Other
Enumeration date
03/22/2019
Last updated
08/05/2024
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