Individual
AMITKUMAR KANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4391 ACWORTH DALLAS RD NW, ACWORTH, GA 30101-4334
(770) 370-2235
Mailing address
4432 LIPPENCOTT LN, ACWORTH, GA 30101-3639
(248) 925-0349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039247
MI
Other
Enumeration date
09/25/2011
Last updated
12/22/2022
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