MEDICARE: DR. CURLESS ANNE PATTERSON M.D.

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	207VM0101X	Maternal & Fetal Medicine Physician	024614	GA
2	207VM0101X	Maternal & Fetal Medicine Physician	24614	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	511L160088	OTHER	GA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4536478	OTHER	GA	AETNA PROV NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	023357	OTHER	GA	BCBS PIN NUMBER

General Provider Information

NPI Number	:	1548324635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURLESS ANNE PATTERSON M.D.

Provider Business Mailing Address
First Line	:	990 HAMMOND DR
Second Line	:	SUITE 120
City	:	ATLANTA
State	:	GA
Zip	:	30328-5529
Country	:	US
Telephone Number	:	404-478-3017
Fax Number	:	404-478-3018

Provider Business Practice Location Address
First Line	:	990 HAMMOND DR STE 120
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5510
Country	:	US
Telephone Number	:	404-478-3017
Fax Number	:	404-478-3018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	03/17/2018

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Directions to “ DR. CURLESS ANNE PATTERSON M.D.” Practice Location

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