Healthcare Provider Details

I. General information

NPI: 1831034255
Provider Name (Legal Business Name): ARMANNI PATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARMANNI RUSSELL

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 HARMON AVE
FORT STEWART GA
31314-5641
US

IV. Provider business mailing address

237 LAUREL HILL CIR
RICHMOND HILL GA
31324-4280
US

V. Phone/Fax

Practice location:
  • Phone: 276-608-4816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: