Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 86407 | GA |
NPI | 1285052977 |
---|---|
Provider Name | Maharsh K Patel |
First Address | Macon, GA 31210-2404 |
Second Address | Macon, GA 31210-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 11/08/2020 |