Individual
NISHANGKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
767 VETERANS PKWY STE 102, HINESVILLE, GA 31313-3932
(912) 877-6453
Mailing address
962 OAK CREST DR, HINESVILLE, GA 31313-4122
(912) 332-6798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122705
GA
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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