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NPI Code Detail

MEDICARE: DR. LARRY E. PATTERSON M.D.

MEDICARE: DR. LARRY E. PATTERSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician16334TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00132676OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851394241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY E. PATTERSON M.D.
Provider Business Mailing Address
First Line : 510 HOLIDAY DR
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-5821
Country : US
Telephone Number : 931-484-2408
Fax Number :
Provider Business Practice Location Address
First Line : 15 IRIS LN
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-7528
Country : US
Telephone Number : 931-456-2728
Fax Number : 931-456-5446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/10/2008

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