Individual
KIRBY ELWOOD PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4390 POPLAR TENT RD, CONCORD, NC 28027-6527
(704) 786-8455
Mailing address
4390 POPLAR TENT RD, CONCORD, NC 28027-6527
(704) 786-8455
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0125
NC
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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