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1114639440
SHIV PATEL
ATLANTA, GA
NPI
1114639440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016353)
Enumeration Date
2022-12-19
Last Update Date
2024-10-17
Business Address
SHIV PATEL DPT
50 EXECUTIVE PARK S APT 406
ATLANTA, GA 30329-2233
Phone number: 229-326-9881
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Mailing Address
SHIV PATEL DPT
3028 PARK AVE N
TIFTON, GA 31794-2863
Phone number: 229-326-9881
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