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NPI Code Detail

MEDICARE: JAY D PATEL DO

MEDICARE: JAY D PATEL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063214054
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY D PATEL DO
Provider Business Mailing Address
First Line : 915 ROBERT ROSE DR APT 326
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-6552
Country : US
Telephone Number : 615-927-9362
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3899
Country : US
Telephone Number : 770-219-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 06/12/2026

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Directions to “ JAY D PATEL DO” Practice Location

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