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General NPI Number Information
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NPI Number | 1164648184
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Entity Type | Organization
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Legal Business Name | SCOTT PATTERSON MD PC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 76 PACES WEST CT NW
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City | ATLANTA
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State | GA
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Zip | 30327-2732
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Country | US
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Telephone | 404-495-0630
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Fax | 404-495-0640
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Provider Business Mailing Address
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Address Line | 76 PACES WEST CT NW
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City | ATLANTA
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State | GA
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Zip | 30327-2732
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Country | US
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Telephone | 404-495-0630
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Fax | 404-495-0640
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT PATTERSON
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Credential | MD
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Telephone | 404-495-0630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 002793
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 009578
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License Number State | GA
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