1184010233 NPI number — ARTICULARIS HEALTHCARE GROUP INC

Table of content: MS. SALLY JILL PATAKY R.D. (NPI 1720120389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184010233 NPI number — ARTICULARIS HEALTHCARE GROUP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTICULARIS HEALTHCARE GROUP INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184010233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 2ND AVE STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUMMERVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29486-7887
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
957 BAXTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30606-3754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-410-9270
Provider Business Practice Location Address Fax Number:
706-410-9276
Provider Enumeration Date:
04/15/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LAWTON
Authorized Official First Name:
JON
Authorized Official Middle Name:
Authorized Official Title or Position:
CIO/CRCO
Authorized Official Telephone Number:
843-572-4840

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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