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Individual

HETAL S. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
515 S. CITY BLVD, STE D & E, WAYCROSS, GA 31501
(919) 360-1043
Mailing address
6176 SECOND ST N, FOLKSTON, GA 31537-9359
(919) 360-1043

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
18897
NC
183500000X
Pharmacist
PS43338
FL
183500000X
Pharmacist
Primary
RPH024062
GA

Other

Enumeration date
03/22/2022
Last updated
08/12/2022
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