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NPI Code Detail

MEDICARE: MINAL G PATEL FNP-C

MEDICARE: MINAL G PATEL FNP-C
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
1363LF0000XFamily Nurse PractitionerRN213545GA

General Provider Information

NPI Number : 1447763339
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINAL G PATEL FNP-C
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 625 S MARIETTA PKWY SE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2748
Country : US
Telephone Number : 470-377-7228
Fax Number : 470-467-7583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2017
Last Update Date : 03/13/2024

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Directions to “ MINAL G PATEL FNP-C” Practice Location

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