Organization
TERESA PATTERSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA M PATTERSON MD (OWNER)
(931) 455-2525
Entity
Organization
Contact information
Practice address
209 WILSON AVE, TULLAHOMA, TN 37388-3353
(931) 455-2525
(931) 455-2505
Mailing address
209 WILSON AVE, TULLAHOMA, TN 37388-3353
(931) 455-2525
(931) 455-2505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD9548
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008461
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
05/07/2015
Last updated
05/07/2015
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