Individual
BETHANIE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK BLVD STE 458W, BRISTOL, TN 37620-7456
(276) 696-9238
Mailing address
119 BURNS AVE APT 5, LEBANON, VA 24266-4543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008535
VA
363A00000X
Physician Assistant
Primary
4056
TN
Other
Enumeration date
10/18/2019
Last updated
10/21/2024
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