Healthcare Provider Details

I. General information

NPI: 1013194513
Provider Name (Legal Business Name): BRIANA CARY PATTERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 UPPERGATE DR
ATLANTA GA
30322-1010
US

IV. Provider business mailing address

2015 UPPERGATE DR
ATLANTA GA
30322-1010
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-6721
  • Fax:
Mailing address:
  • Phone: 404-727-6721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number057231
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: