| Doctor Name: | SMITA PATEL |
| NPI Number: | 1003998881 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AA |
| License Number: | 1477 |
| Business Practice Address: | 6605 Abercorn St St. 108 Savannah, GA - 314055815 |
| Business Phone Number: | 9123545357 |
| Business Fax Number: | |
| Mailing Address: | 804 Scott Nixon Memorial Dr, AUGUSTA |
| State: | GA |
| Postal Code: | 309072464 |
| Phone Number: | 8003944445 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 05/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1477 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |