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General NPI Number Information
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NPI Number | 1336439850
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Entity Type | Organization
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Legal Business Name | GEORGIA MATERNAL FETAL MEDICINE
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 990 HAMMOND DR STE 120
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City | ATLANTA
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State | GA
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Zip | 30328-5510
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Country | US
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Telephone | 404-478-3017
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Fax | 404-478-3018
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Provider Business Mailing Address
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Address Line | 990 HAMMOND DR STE 120
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City | ATLANTA
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State | GA
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Zip | 30328-5510
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Country | US
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Telephone | 404-478-3017
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Fax | 404-478-3018
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Authorized Official
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Title or Position | OWNER
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Name | DR. C ANNE PATTERSON
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Credential | M.D.
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Telephone | 404-478-3017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 24614
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License Number State | GA
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