Provider Demographics
NPI:1144513789
Name:PATTERSON, MARK A SR (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:PATTERSON
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1010 N TENNESSEE ST
Mailing Address - Street 2:SUITE 116
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8525
Mailing Address - Country:US
Mailing Address - Phone:770-383-9605
Mailing Address - Fax:770-383-9606
Practice Address - Street 1:1010 N TENNESSEE ST
Practice Address - Street 2:SUITE 116
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8525
Practice Address - Country:US
Practice Address - Phone:770-383-9605
Practice Address - Fax:770-383-9606
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIROO8815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor