Provider Demographics
NPI:1154182210
Name:PATEL, CHARMI B (DC)
Entity type:Individual
Prefix:DR
First Name:CHARMI
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 DOUBLE CHURCHES RD STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2662
Mailing Address - Country:US
Mailing Address - Phone:706-596-7220
Mailing Address - Fax:706-596-7221
Practice Address - Street 1:2320 DOUBLE CHURCHES RD STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2662
Practice Address - Country:US
Practice Address - Phone:706-596-7220
Practice Address - Fax:706-596-7221
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor