Individual
DR. LARRY E. PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 456-5446
Mailing address
510 HOLIDAY DR, CROSSVILLE, TN 38555-5821
(931) 484-2408
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16334
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3724242
—
TN
01
—
P00132676
RAILROAD MEDICARE
TN
Enumeration date
05/31/2005
Last updated
04/10/2008
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