Individual
TERESA M PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 WILSON AVE, TULLAHOMA, TN 37388-3353
(931) 455-2525
(931) 455-2505
Mailing address
209 WILSON AVE, TULLAHOMA, TN 37388-3353
(931) 455-2525
(931) 455-2505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9548
TN
207Q00000X
Family Medicine Physician
Primary
MD9548
TN
207R00000X
Internal Medicine Physician
MD9548
TN
207RN0300X
Nephrology Physician
MD9548
TN
208000000X
Pediatrics Physician
MD9548
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3163904
—
TN
01
—
621035267
TAX ID
TN
Enumeration date
04/04/2006
Last updated
11/11/2015
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