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Individual

DR. PAT W WHITWORTH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2004 HAYES ST STE 310, NASHVILLE, TN 37203-2653
(615) 620-5535
(615) 320-4303
Mailing address
2004 HAYES ST STE 310, NASHVILLE, TN 37203-2653

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207SG0201X
TN
2086X0206X
Surgical Oncology Physician
Primary
021350
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2615200
CIGNA
05
3061640
TN
05
3061644
TN
01
3162056
BLUE CROSS BLUE SHIELD
TN
01
4207493
AETNA
01
6026312
BCBS
TN
01
C71197
HEALTHSPRING
TN
Enumeration date
12/08/2005
Last updated
05/06/2024
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