# STAT INTERNAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114585049
- **Authorized official:** NICHOLA PATTON NP (NURSE PRACTITIONER)
- **Authorized official phone:** (770) 728-8028

## Contact information

- **Practice address:** 6065 ROSWELL RD STE 450, ATLANTA, GA 30328-4011
- **Practice address phone:** (770) 728-8028
- **Mailing address:** 6065 ROSWELL RD STE 450, ATLANTA, GA 30328-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019
