Provider Demographics
NPI:1275991648
Name:JOYCE, MARY PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:PATRICIA
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:M. PATRICIA
Other - Middle Name:
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2372 CRESTCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4205
Mailing Address - Country:US
Mailing Address - Phone:770-938-7032
Mailing Address - Fax:
Practice Address - Street 1:1600 CLIFTON ROAD, E-47
Practice Address - Street 2:CENTERS FOR DISEASE CONTROL AND PREVENTION
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329
Practice Address - Country:US
Practice Address - Phone:404-639-0934
Practice Address - Fax:404-638-2980
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4135207RI0200X
HIMD-8671207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease