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Organization
TJ PATRICK JR DPM LLC
Active
Organization
TJ PATRICK JR DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J PATRICK JR. DPM (OWNER)
(864) 909-0724
Entity
Organization
Contact information
Practice address
121 GILLETTE CT, SPARTANBURG, SC 29302-3672
(864) 909-0724
Mailing address
121 GILLETTE CT, SPARTANBURG, SC 29302-3672
(864) 909-0724
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
72
SC
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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