Individual
DR. PHILLIP LANE PATTERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1905 N JACKSON ST, STE 440, TULLAHOMA, TN 37388-2200
(931) 455-8707
(931) 455-2505
Mailing address
1905 N JACKSON ST, STE 440, TULLAHOMA, TN 37388-2200
(931) 455-8707
(931) 455-2505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
601
TN
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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