Individual
PAMELA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
290 HIGHWAY 314 STE B, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
Mailing address
1310 WAGERS MILL RD, NEWNAN, GA 30263-3750
(770) 294-9252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003829
GA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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