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Individual

DR. ROBERT M PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 PATEWOOD DR STE C300, GREENVILLE, SC 29615-6324
(864) 454-8272
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(648) 522-8614

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9900639
NC
2086S0129X
Vascular Surgery Physician
Primary
18346
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020048944
RAILROAD MEDICARE
AL
05
119608
AL
05
119611
AL
01
51500646
BLUE CROSS-BLUE SHIELD
AL
Enumeration date
07/03/2006
Last updated
06/08/2021
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