Patrick D Willis Cardiovascular Disease (cardiology)
1230 Baxter St, Athens, GA 30606-3712


Patrick D Willis is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1649317991. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4688843014. The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY). The organization is ST MARY'S MEDICAL GROUP, INC. The address is 1230 Baxter St, Athens, GA 30606-3712. The zip code is 30606.


Patrick D Willis · 1230 Baxter St, Athens, GA 30606-3712

Nation Provider ID 1649317991
PAC ID by PECOS 4688843014
Professional Enrollment ID I20110801000858
Last Name WILLIS
First Name PATRICK
Middle Name D
Gender M
Medical School Name MEDICAL COLLEGE OF GEORGIA
Graduation Year 2004
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary Specialty ST MARY'S MEDICAL GROUP, INC
Phone Number 7063893880
Group Practice PAC ID 7113098393
Number of Group Practice Members 47
Address 1230 BAXTER ST
ATHENS, GA 306063712
Claims Based Hospital Affiliation