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NPI Code Detail

MEDICARE: MRS. MACI M PATEL NP

MEDICARE: MRS. MACI M PATEL NP
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
1363L00000XNurse PractitionerAPN0000021258TN
2363LF0000XFamily Nurse PractitionerRN271349GA
3363L00000XNurse PractitionerRN271349GA

General Provider Information

NPI Number : 1801341318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MACI M PATEL NP
Provider Business Mailing Address
First Line : 2081 NEWNAN CROSSING BLVD
Second Line : SUITE 150
City : NEWNAN
State : GA
Zip : 30265
Country : US
Telephone Number : 423-608-7511
Fax Number :
Provider Business Practice Location Address
First Line : 2081 NEWNAN CROSSING BLVD
Second Line : SUITE 150
City : NEWNAN
State : GA
Zip : 30265-2606
Country : US
Telephone Number : 470-592-5505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2016
Last Update Date : 03/20/2024

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