Individual
C MACK PATTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 BROAD ST, KINGSPORT, TN 37660-3718
(423) 246-6251
(423) 246-7230
Mailing address
822 BROAD ST, KINGSPORT, TN 37660-3718
(423) 246-6251
(423) 246-7230
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD005768
TN
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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