Individual
MR. JOHNNY D. PATMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 WHEELER AVE, CHATTANOOGA, TN 37406-3945
(423) 698-3298
Mailing address
3002 WHEELER AVE, CHATTANOOGA, TN 37406-3945
(423) 698-3298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N/A
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JDP3002
PROVIDER OF DIABETIC SHOES
TN
Enumeration date
09/09/2009
Last updated
09/09/2009
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