Individual
DR. JOHN D PATSIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
(931) 454-2348
Mailing address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
(931) 454-2348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD024651
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3880243
—
TN
01
—
4314519
BCBS
TN
Enumeration date
09/15/2006
Last updated
03/20/2013
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