Individual
DR. PATRICK EAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 WEST BEACON STREET, PHILADELPHIA, MS 39350
(604) 656-6116
(601) 656-5445
Mailing address
921 WEST BEACON STREET, PHILADELPHIA, MS 39350
(604) 656-6116
(601) 656-5445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16521
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003675
MEDICARE ID
MS
01
—
203614481
TRICARE
—
Enumeration date
07/28/2006
Last updated
10/20/2010
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