Healthcare Provider Details

I. General information

NPI: 1629066915
Provider Name (Legal Business Name): PATRICIA FAYE PATTERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 NEWTON RD
ALBANY GA
31701-3424
US

IV. Provider business mailing address

1300 NEWTON RD
ALBANY GA
31701-3424
US

V. Phone/Fax

Practice location:
  • Phone: 229-431-3120
  • Fax: 229-431-3345
Mailing address:
  • Phone: 229-431-4130
  • Fax: 229-431-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number031176
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: