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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA PATTERSON

Active Sole Proprietor

THERESA PATTERSON is a Assisted Living Facility healthcare provider located in VALDOSTA, Georgia. NPI 1194568188 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · VALDOSTA, GA

Registration Details

NPI Number
1194568188
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (1.9700835970247 yrs)
Last Updated
Jun 17, 2024
License
PCH008346 (GA)
Sole Proprietor
Yes

Practice Information

Address
4664 VIENNA CHURCH RD
VALDOSTA, GA, 316055524
Browse GA providers · Browse ZIP 31605
Phone
2293338028
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.