Provider Demographics
NPI:1457800021
Name:PATEL, JIGNASHA N
Entity Type:Individual
Prefix:
First Name:JIGNASHA
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JIGNASHA
Other - Middle Name:N
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:202 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3509
Mailing Address - Country:US
Mailing Address - Phone:229-942-0789
Mailing Address - Fax:
Practice Address - Street 1:202 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3509
Practice Address - Country:US
Practice Address - Phone:229-942-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist