Individual
DR. JOHNEQUIA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1728
(615) 688-2273
(615) 688-2271
Mailing address
207 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1728
(615) 688-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66499
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211903
—
WI
05
—
Q058992
—
TN
Enumeration date
03/27/2019
Last updated
02/05/2025
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