Individual
ROOSEVELT PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7413 WHITESVILLE RD, SUITE 400 B, COLUMBUS, GA 31904-3227
(706) 256-1213
(706) 256-1417
Mailing address
7413 WHITESVILLE RD., SUITE 400 B, COLUMBUS, GA 31904
(706) 256-1213
(706) 256-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011030
GA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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