Individual
PATRICK DAVID WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
391 SERPENTINE DR STE 400, SPARTANBURG, SC 29303-3081
(864) 560-7517
(864) 560-7520
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23222
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6204
—
SC
01
—
SCG2907652
MEDICARE PIN
SC
Enumeration date
09/09/2019
Last updated
01/15/2021
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