Roosevelt Patterson

NPI #1609996461 in Columbus, Georgia

Provider Information

NPI Number: 1609996461
Entity Type: Individual
Name: Roosevelt Patterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7413 WHITESVILLE RD
Address 2: SUITE 400 B
City: Columbus
State: Georgia
ZIP Code: 31904-3227
Phone: (706) 256-1213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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