Patterson, Marian Antoinette

Patterson, Marian Antoinette is an sole proprietor health care provider with primary practice located at 3131 S Main St , Moultrie GA 31768-6925. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Patterson, Marian Antoinette can be contacted via phone (229) 502-9782.

Contact Information

Primary practice address
3131 S Main St Moultrie GA 31768-6925
Phone: (229) 502-9782
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 042035 Georgia
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 042035 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042035 Georgia

Profile Details

NPI number 1831107234
LBN Legal business name Patterson, Marian Antoinette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831107234 NPPES
Georgia MEDICAID 000738944I
Georgia Other 260042741

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