Individual
DR. ANGELA MICHELLE PATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
302 SUNSET DR, SUITE 109, JOHNSON CITY, TN 37604-2408
(423) 282-1742
(423) 283-4924
Mailing address
302 SUNSET DR, SUITE 109, JOHNSON CITY, TN 37604-2408
(423) 282-1742
(423) 283-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521262
—
TN
Enumeration date
04/07/2006
Last updated
01/17/2014
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