Healthcare Provider Details

I. General information

NPI: 1831194968
Provider Name (Legal Business Name): FRANCES GEORGINA PATTERSON MS, APRN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 11/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4791 S MAIN ST
ACWORTH GA
30101-5324
US

IV. Provider business mailing address

5791 HIGHWAY 5
DOUGLASVILLE GA
30135-5523
US

V. Phone/Fax

Practice location:
  • Phone: 770-422-1400
  • Fax: 770-424-4382
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN143233
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: