Provider Demographics
NPI:1841617255
Name:PATTERSON, SABRINA ANN
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SABRINA
Other - Middle Name:ANN
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1230 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901
Mailing Address - Country:US
Mailing Address - Phone:706-321-9606
Mailing Address - Fax:
Practice Address - Street 1:2726 COURTLAND
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907
Practice Address - Country:US
Practice Address - Phone:706-304-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes172V00000XOther Service ProvidersCommunity Health Worker