Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 081015 | GA |
N | 2082S0105X | Plastic Hand Surgeon | Q2821 | TX |
NPI | 1437357373 |
---|---|
Provider Name | Dr. Amit M Patel |
First Address | Smyrna, GA 30082-3522 |
Second Address | Smyrna, GA 30082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 19/07/2018 |