Individual
JOHN PATRICK MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 HIGHWAY 70 E, DICKSON, TN 37055-2080
(615) 326-2617
Mailing address
5380 TECH DATA DR STE 202, CLEARWATER, FL 33760-3122
(727) 507-3609
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
241913
NY
207P00000X
Emergency Medicine Physician
Primary
66206
TN
207Q00000X
Family Medicine Physician
241913
NY
Other
Enumeration date
09/27/2006
Last updated
09/08/2022
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