Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 69125 | GA |
NPI | 1043517683 |
---|---|
Provider Name | Dr. Jatin Patel |
First Address | Roswell, GA 30076 |
Second Address | Roswell, GA 30076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2011 |
Last Update Date | 01/08/2014 |