NPI 1073843355

Ekta Gaurang Patel, OD

Practitioner Optometrist Kennesaw, GA

Practice location

Address: 400 Barrett Pkwy 297, Kennesaw, GA 30144-4917
Phone: (770) 421-1734
Fax: (770) 421-0319

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT002552 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1073843355
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2010
Record last updated: 8 Jan 2010

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.