Individual
RALPH E PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(730) 658-3100
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 658-3100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1061
TN
207Q00000X
Family Medicine Physician
1239
WV
207Q00000X
Family Medicine Physician
34005153
OH
208M00000X
Hospitalist Physician
1061
TN
208M00000X
Hospitalist Physician
34.005153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815470
—
OH
05
—
3810000704
—
WV
Enumeration date
05/11/2006
Last updated
03/17/2019
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