Individual
MR. PATRICK ALLEN WORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1100 E 3RD ST, SUITE G100, CHATTANOOGA, TN 37403-2201
(423) 643-1970
(423) 643-2030
Mailing address
494 BROOK HAVEN DR, HIXSON, TN 37343-6219
(423) 847-1563
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1614
TN
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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