Basic Information
| Provider Information | |||||||||
| NPI: | 1700068202 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATKOWSKA | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | KATARZYNA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 N 20TH ST | ||||||||
| Address2: | SUITE #6 | ||||||||
| City: | OPELIKA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368015466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3347493385 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 121 N 20TH ST | ||||||||
| Address2: | SUITE #6 | ||||||||
| City: | OPELIKA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 368015466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3347493385 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2007 | ||||||||
| LastUpdateDate: | 10/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 89718 | GA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | MD30861 | AL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.