Individual
DR. MICHAEL K PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 MEDICAL PARK DR FL 2, MARION, VA 24354-1100
(276) 378-2026
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6567
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101221326
VA
207R00000X
Internal Medicine Physician
52231
TN
208M00000X
Hospitalist Physician
0101221326
VA
208M00000X
Hospitalist Physician
52231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538109038
—
VA
01
—
5645718
AETNA
VA
01
—
P01250891
RAILROAD MEDICARE
VA
05
—
Q002846
—
TN
Enumeration date
06/07/2006
Last updated
09/28/2022
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