Individual
DR. KURT THOREAU PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-2969
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41906
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05777397
—
MS
05
—
238538001
—
AR
05
—
3000268
—
TN
01
—
4159832
BLUE CROSS BLUE SHIELD
TN
01
—
P00414056
RAILROAD MEDICARE
—
Enumeration date
02/18/2007
Last updated
05/21/2020
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