1932579885 NPI number — MS. PATRICIA AYCOCK JONES GARRETT APRN CLINICAL SPECIA

Table of content: MS. PATRICIA AYCOCK JONES GARRETT APRN CLINICAL SPECIA (NPI 1932579885)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932579885 NPI number — MS. PATRICIA AYCOCK JONES GARRETT APRN CLINICAL SPECIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES GARRETT
Provider First Name:
PATRICIA
Provider Middle Name:
AYCOCK
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN CLINICAL SPECIA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1932579885
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1031A CAMBRIDGE SQUARE
Provider Second Line Business Mailing Address:
BEHAVIORAL MEDICINE ASSOCIATES/FLOYD P. GARRETT MD PC
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-442-9100
Provider Business Mailing Address Fax Number:
770-442-9244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1031A CAMBRIDGE SQUARE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-442-9100
Provider Business Practice Location Address Fax Number:
770-442-9244
Provider Enumeration Date:
10/05/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  RN035129 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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