Individual
MR. DEMETRIUS L PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-3298
(270) 988-4642
Mailing address
PO BOX 347, SALEM, KY 42078-0347
(270) 988-3298
(270) 988-4642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01047153A
IN
208600000X
Surgery Physician
Primary
45974
KY
208600000X
Surgery Physician
TP792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352900
—
IN
05
—
7100230640
—
KY
Enumeration date
06/16/2005
Last updated
06/10/2014
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