Individual
GEORGE MICHAEL PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101038531
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007595034
—
VA
01
—
0421860001
NATIONAL SUPPLIER NUMBER
—
Enumeration date
10/10/2005
Last updated
04/28/2014
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