Individual
DR. ROBERT MARION PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HOLLY AVE, COLUMBUS, GA 31904-6525
(706) 322-5511
(706) 322-6010
Mailing address
4403 HOLLY AVE, COLUMBUS, GA 31904-6525
(706) 322-5511
(706) 322-6010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17258
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093079A
—
GA
05
—
0099006645
—
AL
01
—
034140
BC/BS
GA
01
—
47BBBFQ
COLUMBUS DIAGNOSTIC CENTER, IDTF
GA
01
—
60010482
BC/BS
AL
01
—
GRP2151
MEDICARE COLUMBUS DIAGNOSTIC CENTER GROUP NUMBER
GA
Enumeration date
08/29/2006
Last updated
12/14/2009
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