IndividualActive
Champak Patel, MD
NPI 1073585782 · Legal Medicine · Braselton, GA
Provider details
- NPI number
- 1073585782
- Entity type
- Individual
- Primary specialty
- Legal MedicineOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 123503 (NY)
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Practice location
5196 Hwy 53
Braselton, GA 30517
Phone: (706) 824-9929
Fax: (706) 654-9373
Approximate (ZIP-level) locationGet directions
Mailing address
455 Beaver Ruin Rd
Lilburn, GA 30047
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.