Individual
JANAM NILESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
501 MILLEDGE RD APT 16C, AUGUSTA, GA 30904-4375
(678) 925-1668
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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