Provider Demographics
NPI:1225068208
Name:SANCHEZ-FERMIN, PATRICIA AIMEE (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:AIMEE
Last Name:SANCHEZ-FERMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 JOHNS CREEK PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-9117
Mailing Address - Country:US
Mailing Address - Phone:678-475-1606
Mailing Address - Fax:678-475-1615
Practice Address - Street 1:4275 JOHNS CREEK PKWY STE A
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-9117
Practice Address - Country:US
Practice Address - Phone:678-775-0293
Practice Address - Fax:678-775-0297
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006023689207RG0100X
GA073644207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003159536LMedicaid