Patrenos, Mary Elizabeth

Patrenos, Mary Elizabeth is an individual health care provider with primary practice located at 3312 Henry Rd , Anniston AL 36207-6344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Patrenos, Mary Elizabeth can be contacted via phone (256) 241-2671.

Contact Information

Primary practice address
3312 Henry Rd Anniston AL 36207-6344
Fax: (256) 241-2676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 037042 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14173 Alabama

Profile Details

NPI number 1336115674
LBN Legal business name Patrenos, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336115674 NPPES
Georgia MEDICAID 000553418C
Georgia MEDICAID 155563
Georgia Other 511-44651

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