Patricia Agatston, PHD is a
Counselor - Professional based in Cherry Log, Georgia. Patricia Agatston is licensed to practice in Georgia (license number 1396) and her current practice location is
7786 Rock Creek Rd, Cherry Log, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 490-1604.
NPI number for Patricia Agatston is 1336762558 and her current mailing address is Po Box 58, Cherry Log, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336762558.
Healthcare Provider's Profile
Full Name | Patricia Agatston |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 7786 Rock Creek Rd, Cherry Log, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336762558
- Provider Enumeration Date: 05/21/2020
- Last Update Date: 09/29/2024
Medical Identifiers
Medical identifiers for Patricia Agatston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336762558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1396 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia Agatston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patricia Agatston, PHD Po Box 58, Cherry Log, GA 30522-0058 Ph: (770) 655-9744 | Patricia Agatston, PHD 7786 Rock Creek Rd, Cherry Log, GA 30522-3013 Ph: (404) 490-1604 |
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