Individual
MARIAN ANTOINETTE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 502-9782
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042035
GA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
042035
GA
207QA0505X
Adult Medicine Physician
042035
GA
Other
Enumeration date
08/03/2006
Last updated
09/04/2025
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