Individual
GEORGE E PATTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 RIVER OAKS DR STE 100, FLOWOOD, MS 39232-9564
(601) 200-4760
(601) 200-4742
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4760
(601) 200-4742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08786
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013801
—
MS
01
—
P00739233
RAILROAD MEDICARE
MS
Enumeration date
09/20/2006
Last updated
06/12/2020
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