Provider Demographics
NPI:1124856547
Name:PATTEE, GEORGIA ELECTRA (PA)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:ELECTRA
Last Name:PATTEE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 NORTH WOLFE STREET
Mailing Address - Street 2:HALSTED 600
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-502-2651
Mailing Address - Fax:410-614-7764
Practice Address - Street 1:600 N. WOLFE STREET
Practice Address - Street 2:HALSTED 600
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-502-2651
Practice Address - Fax:410-614-7764
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0009602363A00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant