Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT013007 | GA |
NPI | 1003331588 |
---|---|
Provider Name | Nidhi Patel |
First Address | Birmingham, AL 35242-2660 |
Second Address | Athens, GA 30606-6030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2017 |
Last Update Date | 07/08/2017 |