Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | MD0000005205 | TN |
NPI | 1922196252 |
---|---|
Provider Name | Dr. Warren R Patterson |
First Address | Nashville, TN 37203-7507 |
Second Address | Nashville, TN 37203-2021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3706046 | (05) | TN |
B02589 | (02) | TN |