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Individual

MISS DEANNA JOYCE PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
801 13TH AVE, ALBANY, GA 31701-1340
(229) 436-6688
(229) 436-0307
Mailing address
100 ELIZABETH CT, LEESBURG, GA 31763-5850
(229) 886-8676

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
036987
GA
363LF0000X
Family Nurse Practitioner
ARNP3364212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300618200
FL
01
Y0836
BCBSFL
FL
Enumeration date
05/23/2007
Last updated
05/29/2012
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