Pratik Modi, PA-C

NPI #1992133433 in Augusta, Georgia

Provider Information

NPI Number: 1992133433
Entity Type: Individual
Name: Pratik Modi, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 18, 2013
Last Updated: Nov 15, 2023

Practice Location

Address: 1120 15TH ST
City: Augusta
State: Georgia
ZIP Code: 30912-1405
Phone: (706) 721-8623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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