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Bijal Jyotindra Desai
Medical Physician Assistant in Fayetteville, Georgia
NPI 1134460678

Bijal Jyotindra Desai is a Medical Physician Assistant based in Fayetteville, GA and is specialized in Medical. Bijal Jyotindra Desai practices in Fayetteville, GA. The NPI Number for Bijal Jyotindra Desai is 1134460678 and holds a License No. 069940785 (Georgia).

The current practice location address for Bijal Jyotindra Desai is 1255 Highway 54 W, Fayetteville, GA and can be reached out via phone at 404-367-3014 and via fax at 404-367-3558.

Location: 1255 Highway 54 W, Fayetteville, GA, 30214-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134460678
Provider Name
Bijal Jyotindra Desai
Credential
Provider Entity Type
Individual
Gender
Female
Address
1255 Highway 54 W, Fayetteville, GA, 30214-4526
Phone Number
404-367-3014
Fax Number
404-367-3558
Provider Enumeration Date
03/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1255 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4526
Phone Number
404-367-3014
Fax Number
404-367-3558
person
Provider Business Mailing Address Details
Address
1255 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4526
Phone Number
404-367-3014
Fax Number
404-367-3558
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
069940785 (Georgia)
Definition
Definition to come...
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