Organization
CORNERSTONE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA MICHELLE PATTERSON M.D. (OWNER)
(770) 904-2112
Entity
Organization
Contact information
Practice address
2098 TERON TRCE, SUITE 400, DACULA, GA 30019-1663
(770) 904-2112
(678) 546-3687
Mailing address
2098 TERON TRCE, SUITE 400, DACULA, GA 30019-1663
(770) 904-2112
(678) 546-3687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
043107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08BBQMH
MEDICARE PROVIDER ID
GA
Enumeration date
11/13/2007
Last updated
11/13/2007
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