Individual
PATRICK GREGORY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
211 GREENHILL BLVD NW, FORT PAYNE, AL 35967-3755
(256) 845-9355
Mailing address
211 GREENHILL BLVD NW, FORT PAYNE, AL 35967-3755
(256) 717-9596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-136879
AL
Other
Enumeration date
05/01/2015
Last updated
05/06/2015
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