Individual
LAVORIA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2989 WILSONE PL, SNELLVILLE, GA 30039-6150
(770) 685-0718
(770) 696-1423
Mailing address
2989 WILSONE PL, SNELLVILLE, GA 30039-6150
(770) 685-0718
(770) 696-1423
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN128730
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06071993
—
GA
Enumeration date
07/02/2021
Last updated
07/02/2021
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