MEDICARE: GEORGE A. PATTERSON III MDPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	D27501	MD

General Provider Information

NPI Number	:	1346365038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE A. PATTERSON III MDPC

Provider Business Mailing Address
First Line	:	8218 WISCONSIN AVE STE 316
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3107
Country	:	US
Telephone Number	:	301-652-7061
Fax Number	:

Provider Business Practice Location Address
First Line	:	8218 WISCONSIN AVE STE 316
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3107
Country	:	US
Telephone Number	:	301-652-7061
Fax Number	:	301-656-6664

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GEORGE A PATTERSON III
Credential	:	M.D.
Telephone Number	:	301-652-7061

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

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