SHIVANI PATEL THACKAR

AUGUSTA, GA
NPI1386271336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
(Licence: GA  15213)
Enumeration Date2020-03-26
Last Update Date2023-06-26
Business Address
SHIVANI PATEL THACKAR DO
1120 15TH ST
AUGUSTA, GA 30912-4720
Phone number: 706-721-8623
Mailing Address
SHIVANI PATEL THACKAR DO
10213 WATERSIDE OAKS DR
TAMPA, FL 33647-3194
Phone number: 813-482-1508
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