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Organization
THOMAS PATRICK
Active
Organization
THOMAS PATRICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J PATRICK DPM (PODIATRIST)
(252) 985-1371
Entity
Organization
Contact information
Practice address
184 OAKLAND AVE, SPARTANBURG, SC 29302-1669
(252) 985-1371
Mailing address
PO BOX 7756, ROCKY MOUNT, NC 27804-0756
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
72
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00315353
RAILROAD MEDICARE
SC
05
—
PD0724
—
SC
Enumeration date
03/20/2007
Last updated
01/28/2009
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