Individual
GEORGE ROSS PATTERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
121 POLO RD, WINSTON SALEM, NC 27105-3438
(336) 301-8812
Mailing address
121 POLO RD, WINSTON SALEM, NC 27105-3438
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
07/18/2009
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