Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 76771 | GA |
NPI | 1831432863 |
---|---|
Provider Name | Charmi D Patel |
First Address | Athens, GA 30604-8089 |
Second Address | Watkinsville, GA 30677-7349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 29/06/2021 |