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Organization

ROBERT PATTERSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT S PATTERSON OD (OPTOMETRIST)
(252) 985-1371
Entity
Organization

Contact information

Practice address
1209 CLEVELAND HWY, #289, DALTON, GA 30721-8674
(252) 985-1371
Mailing address
PO BOX 7396, ROCKY MOUNT, NC 27804-0396

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002126
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265298982A
GA
01
52049272001
BCBS PROVIDER NUMBER
GA
Enumeration date
09/07/2007
Last updated
07/03/2008
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