# JOHN D PATSIMAS MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235304213
- **Authorized official:** JOHN D PATSIMAS MD (MEDICAL DOCTOR)
- **Authorized official phone:** (931) 454-0489

## Contact information

- **Practice address:** 100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
- **Practice address phone:** (931) 454-0489
- **Practice address fax:** (931) 454-2348
- **Mailing address:** 100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
- **Mailing address phone:** (931) 454-0489
- **Mailing address fax:** (931) 454-2348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD024651 | TN | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 06/06/2008