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Individual

DR. PATRICK ANTOINE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
(404) 564-6734
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
(404) 564-6734

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057143
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02414722A
GA
Enumeration date
02/14/2006
Last updated
07/08/2007
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