NPI 1073585782

Champak Patel, MD

Practitioner Legal Medicine Braselton, GA

Practice location

Address: 5196 Hwy 53, Braselton, GA 30517
Phone: (706) 824-9929
Fax: (706) 654-9373
Mailing address: 455 Beaver Ruin Rd, Lilburn, GA 30047

Registered specialties (2)

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 059888 (GA)

Other Legal Medicine providers in Georgia →

Pulmonary Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence 123503 (NY)

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1073585782
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2006
Record last updated: 12 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.