Individual
JOHN D. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 271-4930
(336) 271-8466
Mailing address
PO BOX 13508, GREENSBORO, NC 27415-3508
(336) 271-4930
(336) 271-8466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220023044
RAILROAD MEDICARE
NC
Enumeration date
09/14/2005
Last updated
04/11/2008
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