Individual
JIMMY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E MAIN ST, CANDOR, NC 27229-8088
(910) 974-7555
Mailing address
835 ALBEMARLE RD, TROY, NC 27371-8682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103094
NC
Other
Enumeration date
10/06/2005
Last updated
07/22/2019
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