Individual
TIMOTHY NICHOLAS PATSELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 MEMORIAL DRIVE, ONSLOW SURGICAL CLINIC PA, JACKSONVILLE, NC 28546
(910) 353-7848
(910) 353-5052
Mailing address
255 MEMORIAL DRIVE, JACKSONVILLE, NC 28546
(910) 353-7848
(910) 353-5052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8987952
—
NC
Enumeration date
06/21/2006
Last updated
03/10/2010
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