Individual
DR. GREGORY K PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 GORDON AVE, THOMASVILLE, GA 31792-6613
(229) 226-0125
(229) 226-0195
Mailing address
900 GORDON AVE, THOMASVILLE, GA 31792-6613
(229) 226-0125
(229) 226-0195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
045106
GA
208600000X
Surgery Physician
Primary
045106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000787487C
PEACH STATE
GA
05
—
000787487C
—
GA
05
—
000787487I
—
GA
01
—
020043507
RAILROAD MEDICARE
GA
01
—
196298
WELLCARE
GA
Enumeration date
01/13/2006
Last updated
05/07/2021
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