Provider Demographics
NPI:1942428925
Name:PATTERSON, MARGARET EAGAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:EAGAN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11404 SEYMOUR LN
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-4633
Mailing Address - Country:US
Mailing Address - Phone:540-755-1714
Mailing Address - Fax:540-779-7832
Practice Address - Street 1:4448 GERMANNA HWY STE 4C
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:VA
Practice Address - Zip Code:22508-2012
Practice Address - Country:US
Practice Address - Phone:540-755-1714
Practice Address - Fax:540-779-7832
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204281208000000X
VA0101267312208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2133268Medicaid
LA2133268Medicaid
248323YJA2Medicare PIN