Provider Demographics
NPI:1639466121
Name:PATEL, JENNIFER HEMPHILL (PT, DPT, CMTPT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HEMPHILL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT, DPT, CMTPT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:HEMPHILL
Other - Last Name:SPAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:400 DAWSON COMMONS CIR STE 430
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-6269
Mailing Address - Country:US
Mailing Address - Phone:706-265-8790
Mailing Address - Fax:706-265-8788
Practice Address - Street 1:400 DAWSON COMMONS CIR STE 430
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6269
Practice Address - Country:US
Practice Address - Phone:706-265-8790
Practice Address - Fax:706-265-8788
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist