Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35752 | SC |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35752 | SC |
NPI | 1306285978 |
---|---|
Provider Name | Dr. Travis Michael Patterson |
First Address | Spartanburg, SC 29303-4219 |
Second Address | Spartanburg, SC 29303-4219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2013 |
Last Update Date | 26/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
357526 | (05) | SC |