Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 063791 | GA |
N | 207RP1001X | Pulmonary Disease | 063791 | GA |
NPI | 1063624377 |
---|---|
Provider Name | Craig Marschall Patterson |
First Address | Marietta, GA 30060-9411 |
Second Address | Marietta, GA 30060-9411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 12/11/2015 |