Individual
CAROL VANDIVER PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
662 HIGHWAY 75 S, CLEVELAND, GA 30528-7183
(706) 219-2309
Mailing address
4557 MONTCLAIR CIR, GAINESVILLE, GA 30506-5134
(770) 983-2422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017418
GA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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