# J. MANUEL PATINO, MD PC

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

## Provider details

- **NPI number:** 1639445919
- **Authorized official:** DR. JOSE MANUEL PATINO MD (CEO)
- **Authorized official phone:** (404) 352-1223

## Contact information

- **Practice address:** 3193 HOWELL MILL RD NW, SUITE 204, ATLANTA, GA 30327-2119
- **Practice address phone:** (404) 352-1223
- **Practice address fax:** (404) 352-4394
- **Mailing address:** 3193 HOWELL MILL RD NW, SUITE 204, ATLANTA, GA 30327-2119
- **Mailing address phone:** (404) 352-1223
- **Mailing address fax:** (404) 352-4394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 52577567 | GA | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012