Provider Demographics
NPI:1518272996
Name:PATTON, MONICA E (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:E
Last Name:PATTON
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 1:1600 CLIFTON ROAD
Mailing Address - Street 2:CDC, MS E-02 DIVISION OF STD PREVENTION
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30333
Mailing Address - Country:US
Mailing Address - Phone:404-718-8648
Mailing Address - Fax:
Practice Address - Street 1:1600 CLIFTON ROAD
Practice Address - Street 2:CDC, MS E-02 DIVISION OF STD PREVENTION
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30333
Practice Address - Country:US
Practice Address - Phone:404-718-8648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA72077208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics