Individual provider · Type 1 NPI

Disha Patel

Medical Physician Assistant · Dacula, GA

NPI number 1295307759 Active

Practice location

4285 Jim Moore Rd # 200
Dacula, GA 30019-1016

Mailing address

3400 Old Milton Pkwy Ste 270
Alpharetta, GA 30005-3707

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1295307759

Disha Patel's National Provider Identifier is 1295307759, issued on Jul 14, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dacula, GA. The record was last updated on Jul 14, 2021.