Healthcare Provider Details

I. General information

NPI: 1457342693
Provider Name (Legal Business Name): STEVEN ANTHONY PATTEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 MONTREAL RD SUITE 290
TUCKER GA
30084-8146
US

IV. Provider business mailing address

1350 MONTREAL RD SUITE 290
TUCKER GA
30084-8146
US

V. Phone/Fax

Practice location:
  • Phone: 404-446-1340
  • Fax: 404-446-3497
Mailing address:
  • Phone: 404-446-1340
  • Fax: 404-446-3497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41922
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number041922
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: