Search › Georgia › 363LF0000X
Patricia Proveaux, FNP-BC
NPI 1053062760 · on the registry since 2022
Practice
- Address
- 1360 Upper Hembree Rd Ste 201
Roswell, GA 30076 - Phone
- (770) 475-3361
- Fax
- (770) 664-4431
- Organisation at this address
- Thomas A. Johnson, Dds
Alpharetta Women'S Specialists
Northside Ear, Nose & Throat, Pc
Mak Anesthesia Pain Services, Llc
Georgia Northside Ear, Nose And Throat, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia