Search › Georgia › 363LF0000X
Shontiaya Patterson, FNP
NPI 1063762870 · on the registry since 2012
Practice
- Address
- 1324 Highway 138 Sw
Riverdale, GA 30296 - Phone
- (770) 907-4949
- Fax
- (770) 907-4022
- Organisation at this address
- Caedel Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 175 Gwinnett Dr, Lawrenceville, GA
- 559 Flat Shoals Ave Se, Atlanta, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia